Triage Assessment and NEWS-score as Risk Predictor in Older Frailty Adults in the ED
3-level Triage Assessment and National Early Warning Score as Predictor for Mortality, Hospital Admission and ED Readmission for Older Frailty Patients in the ED
1 other identifier
observational
1,711
1 country
1
Brief Summary
Emergency Department Triage Systems have not been shown to sufficiently recognize frail elderly patients in need of urgent assessment and care. In this prospective, observational study the performance of the 3-level triage system and the National Early Warning Score (NEWS) 2 are assessed (separately and combined) for predicting adverse outcomes in older frailty patients visiting in the ED. Observational data for this study is gathered as part of GAOPS - main study (ClinicalTrials.gov Identifier: NCT03751319).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Dec 2018
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 11, 2018
CompletedFirst Submitted
Initial submission to the registry
December 19, 2018
CompletedFirst Posted
Study publicly available on registry
December 20, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
October 28, 2020
CompletedFebruary 1, 2022
January 1, 2022
9 months
December 19, 2018
January 29, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Mortality
Mortality during the 30 day follow-up
30 days
Secondary Outcomes (3)
Hospital admission
Day 0
ICU/HDU admission
Day 0
Readmission in the ED
Hour 72, Day 30
Study Arms (1)
Older Adult Patients
ED patients age of ≥ 75 who have nurse assessed Clinical Frailty Scale ≥ 4.
Eligibility Criteria
Residents of aforementioned counties, aged over 75 years, who attend the Emergency department and have clinical frailty scale minimum 4.
You may qualify if:
- "Clinical Frailty Scale" minimum 4 estimated at the arrival to the ED by nurse
You may not qualify if:
- Non-resident of the counties (City of Espoo, Kirkkonummi, Kauniainen) of the hospital district.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Helsinki University Central Hospitallead
- City of Espoocollaborator
- University of Helsinkicollaborator
Study Sites (1)
Helsinki University Central Hospital, Jorvi
Espoo, 02740, Finland
Related Publications (1)
Kemp K, Alakare J, Harjola VP, Strandberg T, Tolonen J, Lehtonen L, Castren M. National Early Warning Score 2 (NEWS2) and 3-level triage scale as risk predictors in frail older adults in the emergency department. BMC Emerg Med. 2020 Oct 28;20(1):83. doi: 10.1186/s12873-020-00379-y.
PMID: 33115446RESULT
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Veli-Pekka Harjola
Department of Emergency Medicine and Services, Helsinki University Hospital
- PRINCIPAL INVESTIGATOR
Janne Alakare, MD
Department of Emergency Medicine and Services, Helsinki University Hospital
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Senior physician in Emergency Medicine
Study Record Dates
First Submitted
December 19, 2018
First Posted
December 20, 2018
Study Start
December 11, 2018
Primary Completion
September 1, 2019
Study Completion
October 28, 2020
Last Updated
February 1, 2022
Record last verified: 2022-01
Data Sharing
- IPD Sharing
- Will not share