Use of Telemedicine for Geriatric Emergency Patients

NCT04148027 | Completed

• 2 other identifiers: Telenotfallgeriatrie-2017EK 243/17
• Study Type: observational
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the present study is the implementation of a telemedical geriatric co-evaluation in the area of the emergency department. The use of telemedicine is intended to improve the care of geriatric emergency patients. Primarily, it should be checked whether there is any difference at all compared to the normal standard treatment by the doctors of the emergency department. For this, the different drug recommendations are compared. For the qualitative evaluation, the second step is an analysis of the recommended drugs with regard to the use of inadequate preparations for older patients.

Conditions

Geriatric Patients

Keywords

emergency medicine; geriatrics; telemedicine

Outcome Measures

Primary Outcomes (1)

• Differences in pharmacological interventions

  The primary endpoint is an evaluation of the different pharmaceutical interventions between the standard emergency department treatment and the telemedicine geriatric treatment. Number of different views per patient in the pharmacological differential therapy with regard to: * drug replacement * withdrawal of a pre-existing drug * dose adjustment of a pre-existing drug are being analyzed.

  within 48 hours of admission to the emergency department

Secondary Outcomes (2)

• Quality of pharmacological interventions

  within 48 hours of admission to the emergency department

• Avoidance of Polypharmacy as a quality feature for age-appropriate therapy

  within 48 hours of admission to the emergency department

Interventions

Treatment recommendation by emergency department physicians OTHER

Standard treatment after admission in the emergency department from a team of residents in internal medicine, neurology and general surgery.

Treatment recommendation by telemedical geriatric co-evaluation OTHER

Treatment recommendation from a board-certified geriatrician linked for co-evaluation by means of video transmission

Eligibility Criteria

• Age: 70 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Geriatric emergency patients aged ≥ 70, who showed an "Identification of Seniors at risk"-Score (ISAR-Score) ≥ 2.

You may qualify if:

• Age ≥ 70 years
• Written declaration of consent
• Indication for geriatric treatment according to "Identification of Seniors at risk" (ISAR) score screening with scores ≥ 2
• Persons who are capable and mentally able to follow the instructions of the study staff
• Legally incompetent persons with a consensual legal guardian or a person authorized by the patient to manage their affairs

You may not qualify if:

• Persons who are accommodated on an official or court order in an institution
• Persons who are in a dependency or employment relationship with the sponsor or examiner
• Simultaneous participation in another clinical trial
• Missing written consent

Sponsors & Collaborators

• RWTH Aachen University: lead

Study Sites (1)

Emergency department, University Hospital RWTH Aachen

Aachen, North Rhine-Westphalia, 52074, Germany

Location

Related Publications (3)

• Werner H. [Drug therapy in the aged: too much and too little, what to do? A new evaluation system: fit for the aged (FORTA)]. Dtsch Med Wochenschr. 2009 Jan;134(3):95-6; author reply 96. doi: 10.1055/s-0028-1105898. Epub 2009 Jan 13. No abstract available. German.

  PMID: 19142841 BACKGROUND

• Yao JL, Fang J, Lou QQ, Anderson RM. A systematic review of the identification of seniors at risk (ISAR) tool for the prediction of adverse outcome in elderly patients seen in the emergency department. Int J Clin Exp Med. 2015 Apr 15;8(4):4778-86. eCollection 2015.

  PMID: 26131052 BACKGROUND

• Matz O, Villa L, Lecce C, Olaciregui Dague K, Haeger A, Bollheimer LC, Laurentius T, Rossaint R, Brokmann J. Implementation of a telemedicine geriatric co-evaluation in the emergency department: a prospective pilot study. Swiss Med Wkly. 2021 May 5;151:w20500. doi: 10.4414/smw.2021.20500. eCollection 2021 Apr 26.

  PMID: 34000061 DERIVED

Study Officials

• Jörg Brokmann, PD Dr.

  Emergency Department, University Hospital RWTH Aachen, Aachen, Germany

  STUDY DIRECTOR

Study Design

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

Study Record Dates

• First Submitted: October 28, 2019
• First Posted: November 1, 2019
• Study Start: November 1, 2017
• Primary Completion: February 28, 2018
• Study Completion: June 30, 2018
• Last Updated: November 1, 2019

Record last verified: 2019-10

Locations

DE (1)