Comprehensive Geriatric Assessment in an Emergency Department

NCT03786250 | Unknown

• 1 other identifier: IIBSP-AGI-2017-14
• Study Type: observational
• Target: 450
• Locations: 1 country
• Sites: 1

Brief Summary

Purpose Frailty and multi-morbidity have been associated with increased pressure on Emergency Departments (ED), higher hospital admissions and more risks for patients arising from the ED stay. The advantages of developing specific attention to frailty in ED have been highlighted. The benefits of these approaches are related to patients but also to organizations. The aim is to present how a Program of Care for Frailty (PCF) in an ED impacts on patient health and flows. Objective is to analyze the clinical impact of Comprehensive Geriatric Care (CGA) in the Emergency Department (ED) and on patient flows Setting: A tertiary, teaching, 550-bed urban hospital, with 80,000 adult patients/year ED attendances (43%≥65 years). Two periods are compared: First period (before CGA implantation) del 01/04/2016 - 15/04/2016 and second period (after) 01/04/2017 - 15/04/2017

Conditions

Emergencies; Aging; Geriatric Assessment; Patient Discharge

Keywords

Emergency department; Older; Frailty

Outcome Measures

Primary Outcomes (1)

• Number of patients with delirium

  From date of admission until discharge, assessed up to 30 days

Secondary Outcomes (1)

• Number of patients with pain correctly treated

  From date of admission until discharge, assessed up to 30 days

Interventions

Geriatric Assessment PROCEDURE

Systematic screening of delirium, prevention of delirium, early treatment, pain management with scales adapted to chronicity, conciliation of medication to emergency discharge, among others.

Also known as: CGA

Eligibility Criteria

• Age: 18 Years - 115 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All patients older than 65 years, attended in ED during the study periode.

You may qualify if:

• All patients older than 65 years attended in the ED

You may not qualify if:

• None

Sponsors & Collaborators

• Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau: lead
• Fundació Mutuam Conviure: collaborator

Study Sites (1)

Hospital de la Santa Creu i Sant Pau

Barcelona, 08025, Spain

RECRUITING

MeSH Terms

Conditions

Emergencies; Frailty

Interventions

Geriatric Assessment

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Status; Demography; Population Characteristics; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Epidemiologic Measurements; Public Health; Environment and Public Health

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 11, 2018
• First Posted: December 26, 2018
• Study Start: December 1, 2018
• Primary Completion: December 1, 2018
• Study Completion: December 1, 2019
• Last Updated: December 26, 2018

Record last verified: 2018-12

Locations

ES (1)