Geriatric Assessment and Intervention for Older Patients With Frailty in the Emergency Department. Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 432
- 试验地点
- 1
- 主要终点
- Cumulated Length of Stay
研究概览
简要总结
Comprehensive Geriatric Assessment (CGA) is an established approach for better detection of frailty-related problems and includes individualized treatment plan with multi-discipline supportive and treating measures for the older frailty patients. However, there is limited evidence of feasibility and efficacy of the CGA when provided in the emergency department setting.
In the GAOPS-study the efficacy of the CGA in emergency department setting will be studied by randomized controlled study protocol. We aim to study if the CGA provided in the ED is feasible, safe and efficient method when added with standard emergency care for older frail patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 75 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age of minimum 75 years
- •"Clinical Frailty Scale" minimum 4 estimated at the arrival to the ED by nurse
排除标准
- •Non-resident of the counties (City of Espoo, Kirkkonummi, Kauniainen) of the hospital district.
研究组 & 干预措施
Standard Emergency Care + CGA
Standard Care is provided for the acute condition as usual by the ED personnel. Besides the standard care provided by ED personnel, patients are systemically screened and assessed by physician trained for geriatrics or geriatric emergency medicine. Geriatric multi-discipline treatment plan and recommendations are given if suitable for the case.
干预措施: CGA (Other)
Standard Emergency Care
Standard Care is provided for the acute condition as usual by the ED personnel.
结局指标
主要结局
Cumulated Length of Stay
时间窗: Day 365
Cumulated stay (days) in hospital wards (university hospital and community hospital) including all admissions during the follow-up.
次要结局
- Admissions(Day 30, Day 365)
- Admission rate(Day 0)
- Readmissions in the ED(Hour 72, Day 30, Day 365)
- Living at home(Day 365)
- Quality of Life(Day 0, Day 365)
研究者
Janne Alakare
Senior physician in Emergency Medicine
Helsinki University Central Hospital