Cognitive Impairment in Older Emergency Department Users and Associated Adverse Outcomes

NCT04235738 | Active Not Recruiting

• 1 other identifier: 2020-2184
• Study Type: observational
• Target: 4,724
• Locations: 1 country
• Sites: 1

Brief Summary

This study examines the prevalence and incidence of older ER users with cognitive impairment (i.e., dementia and/or delirium) using the ER2 item temporal disorientation in older ED users who are participants of the ER2 cohort study database.

Conditions

Cognitive Frailty; Physical Frailty; Older Emergency Department Users

Outcome Measures

Primary Outcomes (5)

• Length of hospital stay

  The length of hospital stay is defined as the average number of days that patients spend in hospital. It will be used the ER2 tool ( Emergency Room Evaluation and Recommendation) to calculate the length of hospital stay.

  12 months

• Dementia

  The diagnosis of dementia

  12 months

• Delirium

  The diagnosis of delirium

  12 months

• Length of stay in ED

  The length of ED stay is defined as the average number of days that patients spend in the ED. It will use the ER2 tool ( Emergency Room Evaluation and Recommendation) to calculate the length of ED stay.

  12 months

• Hospital admission rate

  The number of individuals admitted to the hospital

  12 months

Interventions

Observational OTHER

ER2 is a simple and standardized clinical tool. The results of the questionnaires performed in ER2 study will be used. The assessment component of ER2 consists of 6 very simple closed-ended format questions (i.e., yes versus no) which are: Age category (≥ 85), male, polypharmacy (≥ 5 different medications per day), use of formal (health care or social professional) and/or informal (family and/or friend) home support, use of a walking aid regardless of its type, and temporal disorientation (inability to give the current month and/or year). A score of five points is assigned to the items "use of walking aid" and "temporal disorientation", whereas, for the other items, the assigned score is one point. The weighting of points for ER2 items is based on the results of our previous studies. Scores range from 0 (lowest risk) to 14 (highest risk). ER2 scores stratify the risk for short-term ED adverse events into three levels: low, moderate and high.

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Individuals eligible for this study are the participants in the ER2 study.

You may qualify if:

• \- An unplanned ED visit and to be on a stretcher

Sponsors & Collaborators

• Jewish General Hospital: lead

Study Sites (1)

Jewish General Hospital

Montreal, Quebec, H3T 1E2, Canada

Location

MeSH Terms

Interventions

Watchful Waiting

Intervention Hierarchy (Ancestors)

Outcome Assessment, Health Care; Outcome and Process Assessment, Health Care; Quality of Health Care; Health Services Administration

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, PhD, Professor of Geriatrics, Holder of the Dr. Joseph Kaufmann Chair in Geriatric Medicine Clinician Scientist, Department of Medicine, Division of Geriatric Medicine Director of Centre of Excellence on Longevity, RUISSS McGill, McGill University

Study Record Dates

• First Submitted: January 17, 2020
• First Posted: January 22, 2020
• Study Start: January 17, 2020
• Primary Completion: February 1, 2022
• Study Completion: February 1, 2025
• Last Updated: February 23, 2024

Record last verified: 2024-02

Locations

CA (1)