Infected Elders in the Emergency Department: Outcomes and Processes of Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 213
- 试验地点
- 1
- 主要终点
- Complicated Clinical course
研究概览
简要总结
The purpose of this study is to determine factors which predict a complicated hospital course and then to develop from these findings an Emergency Department guideline to assist in knowing who is at highest risk of elderly patients with infection presenting for care.
详细描述
The study is looking at how closely physicians adhere to treatment guidelines in caring for elderly patients, and then to determine if there are differences in elderly patient disease symptoms that result in a failure to use guidelines. If this is known, physicians can then be aware of these differences and provide appropriate care.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age 65 or older
- •blood cultures ordered in the Emergency Department
- •admitted to the hospital from the Emergency Department
排除标准
- •age less than 65
- •prisoners
- •Patient unable to provide consent and no legally authorized representative available
- •non-English speaking
- •ED visit or admission in the last 7 days for the same condition
- •primary evaluation by the trauma team
结局指标
主要结局
Complicated Clinical course
时间窗: 0-30 days from ED visit
The presense of any one of the following will constitute a complicated clinical course: 1. mortality at 30 days 2. requirement for ICU admission or ICU-level care withing first 48 hours 3. positive blood cultures
次要结局
- Inadequate process of care(entire length of Emergency Department visit and hospitalization)
研究者
Jeffrey Caterino
Assistant Professor
Ohio State University