Emergency Room Visits and Older Patients (ER2)

NCT03633240 | Completed

• 1 other identifier: CODIM-16 315
• Study Type: observational
• Target: 356
• Locations: 1 country
• Sites: 1

Brief Summary

Today's population is living longer than prior generations. Senior patients, defined as 65 years or older, are therefore increasing in number, and representing a larger number of hospitalized patients. Thus, assessing and addressing the needs of the growing number of older ER users is essential. The overall objective of the study is to examine the feasibility and the epidemiology of two screening tools ("Programme de Recherche sur l'Intégration des Services pour le Maintien de l'Autonomie" (PRISMA-7) and Emergency Room Evaluation and recommendations (ER2)) used in the Emergency Room of Jewish General Hospital to screen older patients (i.e.; ≥65 years) at risk of adverse health events. A prospective observational cohort design will be used for the study's two phases; phase 1- assessment and phase 2- assessment as well as recommendations.

Conditions

Emergencies; Length of Stay

Outcome Measures

Primary Outcomes (2)

• Feasibility of using both tools in the ER

  Percentage of participants with complete filed tools (older patients with tools filed / (older patients visiting the ER) x 100) will be calculated.

  1 day

• Prevalence of tools filed

  Prevalence will be calculated for PRISMA-7, ER2 and pooled tools respectively.

  1 day

Secondary Outcomes (3)

• Feasibility of tools

  1 day

• Length of stay

  1 day

• Acute medical events

  1 day

Interventions

ER assessment OTHER

To measure the effects of recommendations of ER2, the investigators will use ER users who will have an ER2 assessment without any recommendations as the referent group the older. This choice is possible because ER2 will be integrated into ER care in two steps: The first step will be limited to its assessment component in order to learn how to use the tool. The second step will be to follow the recommendations provided after the assessment. Participants will follow-up during their hospitalization via a review of their chart. They will be censored when they will be discharged from the JGH or when the duration of hospitalization will exceed 31 days.

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

They will be separated in four main groups: 1. Those without any PRISMA-7 and ER2. 2. Those with PRISMA-7 and without ER2. 3. Those with ER2 and without PRISMA-7. 4. Those with PRISMA-7 and ER2. Each group of participants with PRISMA-7 and ER2 will be divided in two subgroups: those with all items completed and a score, and those with incomplete tools.

You may qualify if:

• Age ≥ 65 years.
• Unplanned ER visits.

You may not qualify if:

• Death within the 24 hours of first visiting ER.
• Palliative care due to ER visit.

Sponsors & Collaborators

• Jewish General Hospital: lead

Study Sites (1)

Jewish General Hospital

Montreal, Quebec, H3T 1E2, Canada

Location

Related Publications (1)

• Beauchet O, Afilalo M, Allali G, Lubov J, Galery K, Launay CP. "Emergency Room Evaluation and Recommendations" and Incident Hospital Admissions in Older People with Major Neurocognitive Disorders Visiting Emergency Department: Results of an Experimental Study. Dement Geriatr Cogn Disord. 2022;51(3):291-296. doi: 10.1159/000524533. Epub 2022 May 12.

  PMID: 35551122 DERIVED

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Olivier Beauchet

  Jewish General Hospital - Lady Davis Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Geriatrics

Study Record Dates

• First Submitted: August 9, 2018
• First Posted: August 16, 2018
• Study Start: September 1, 2017
• Primary Completion: September 1, 2021
• Study Completion: July 1, 2024
• Last Updated: July 23, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)