A Randomized Controlled Trial of Geriatric Emergency Department Innovations
1 other identifier
interventional
822
1 country
1
Brief Summary
This study evaluates the Geriatric Emergency Department Innovations (GEDI) program at Northwestern Memorial Hospital to care for older adults in the emergency department. Half of the patients will be cared for by a standard ED team plus the GEDI team, while half of the patients will receive usual ED care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2019
Longer than P75 for not_applicable
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
First Submitted
Initial submission to the registry
September 30, 2019
CompletedFirst Posted
Study publicly available on registry
October 4, 2019
CompletedStudy Start
First participant enrolled
October 7, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 31, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
January 31, 2025
CompletedMay 23, 2025
May 1, 2025
5.3 years
September 30, 2019
May 20, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Number of patients with hospital admission or death
A composite measure of any hospitalizations or death during the index ED visit or within the follow up time frame
30 days
Secondary Outcomes (18)
PROMIS-Preference
9 days
PROMIS-Preference
30 days
Return Emergency Department Visits
9 days
Return Emergency Department Visits
30 days
Death
9 days
- +13 more secondary outcomes
Study Arms (2)
Control
NO INTERVENTIONStandard emergency department care
Intervention
OTHERStandard emergency department are plus GEDI consult
Interventions
Geriatric assessment and care coordination provided by a multidisciplinary team in the emergency department including transitional care nurses, social workers, pharmacists, occupational therapists, and physical therapists.
Eligibility Criteria
You may qualify if:
- Northwestern Emergency Department patients who are:
- years or older
- living independently or with friends, family, or caregivers in the community
- Clinical Frailty Scale (CFS) score of 4 or greater
You may not qualify if:
- Patients will be excluded if they:
- Tested positive for COVID-19
- Are unable to complete the assessments in English
- Are unable to provide informed consent with no Legally Authorized Representative Present or are unable to complete follow-up participation
- Are held in the ED involuntarily as a prisoner or patient with a psychiatric complaint
- Are enrolled in another study to avoid patient fatigue and confounding
- Received a GEDI, Social Work, Pharmacy, or Physical Therapy consult outside of this trial during the current ED visit
- Leave the ED against medical advice or without being seen by a physician
- Are admitted to the ICU
- Are too medically unstable to participate in the assessment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Northwestern University Department of Emergency Medicine
Chicago, Illinois, 60611, United States
Related Publications (1)
Dresden SM, Lo AX, Lindquist LA, Kocherginsky M, Post LA, French DD, Gray E, Heinemann AW. The impact of Geriatric Emergency Department Innovations (GEDI) on health services use, health related quality of life, and costs: Protocol for a randomized controlled trial. Contemp Clin Trials. 2020 Oct;97:106125. doi: 10.1016/j.cct.2020.106125. Epub 2020 Aug 26.
PMID: 32858227DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Scott M Dresden, MD, MS
Northwestern University Department of Emergency Medicine
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
September 30, 2019
First Posted
October 4, 2019
Study Start
October 7, 2019
Primary Completion
January 31, 2025
Study Completion
January 31, 2025
Last Updated
May 23, 2025
Record last verified: 2025-05
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, ICF
- Time Frame
- The data will be made available at the completion of the study and will be available for at least 5 years.
- Access Criteria
- Access will be determined by the DigitalHub requirements.
The Galter Library at Northwestern University has implemented a DigitalHub to facilitate the storage and sharing of research products, including data sets, presentations, documentation, brochures, etc. The DigitalHub also provides digital object identifier so that these resources can be appropriately cited and tracked. Where feasible we will curate and make available structured data both as de-identified and limited datasets as defined under HIPAA. Interested collaborators will complete an online collaborative research request survey.