SOLAR- Frailty Screening and Multidisciplinary Assessment of Older Adults in the Emergency Department

NCT04629690 | Completed DMC

• 1 other identifier: SOLAR
• Study Type: interventional
• Target: 229
• Locations: 1 country
• Sites: 1

Brief Summary

SOLAR is a randomised control trial exploring the role of Comprehensive Geriatric Assessment (CGA) in older adults who screen positive for frailty based on the Identification of Seniors at Risk (ISAR) tool the the Emergency Department and Acute Medical Assessment Unit of a University Teaching Hospital.

Conditions

Frailty

Keywords

Comprehensive Geriatric Assessment; Emergency Department; Older Adults; Frailty

Outcome Measures

Primary Outcomes (2)

• Patient Experience Times (PET)

  PET time recorded as time of arrival at the ED to discharge or admission

  Exact time of admission or discharge from ED will be collected at 30 days from index visit

• Time to admission or discharge and if for admission, time that the bed is booked to go to medical wards.

  This is the time that the patient is either discharged or identified for admission and bed booked to go to the medical wards

  Exact time of admission or discharge from ED will be collected at 30 days from index visit

Secondary Outcomes (7)

• Rate of ED Representation

  30 days and 6 months

• Mortality

  30 days and 6 months

• Rate of Hospital Readmission

  30 days and 6 months

• Functional Decline

  30 days and 6 months

• Patient Satisfaction-

  30 days

Study Arms (2)

Control Arm

NO INTERVENTION

The control group will obtain usual medical care in the Emergency Department and Acute Medical Assessment Unit

SOLAR arm

EXPERIMENTAL

The SOLAR arm will obtain a comprehensive geriatric assessment which will be provided by a geriatric doctor, physiotherapist, occupational therapist, social worker, pharmacist and specialist nurse.

Other: SOLAR

Interventions

SOLAR OTHER

The participants will obtain a multidisciplinary assessment regarding their medical conditions, medication review, cognitive assessment, functional assessment, gait and balance assessment by senior clinicians and a management plan will be implemented.

Also known as: Comprehensive Geriatric Assessment

SOLAR arm

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Older adults aged 75 years or over
• Medically stable as deemed by the treating physician
• A score of 2 or above on the ISAR
• Present with a medical complaint

You may not qualify if:

• Those under the age of 75 years
• A score of less than 2 on the ISAR
• Acute myocardial infarction, stroke or non-medical problems e.g. surgical or psychiatric issues
• Patients who are medically unstable
• If neither the patient nor carer can communicate in English sufficiently to complete consent or baseline assessment
• Confirmed or highly suspicious of symptoms for COVID 19.

Sponsors & Collaborators

• University of Limerick: lead
• University Hospital of Limerick: collaborator

Study Sites (1)

University Hospital Limerick

Limerick, v, Ireland

Location

Related Publications (3)

• McCusker J, Bellavance F, Cardin S, Trepanier S, Verdon J, Ardman O. Detection of older people at increased risk of adverse health outcomes after an emergency visit: the ISAR screening tool. J Am Geriatr Soc. 1999 Oct;47(10):1229-37. doi: 10.1111/j.1532-5415.1999.tb05204.x.

  PMID: 10522957 BACKGROUND

• Leahy A, Barry L, Corey G, Whiston A, Purtill H; SOLAR team; Shanahan E, Shchetkovsky D, Ryan D, O'Loughlin M, O'Connor M, Galvin R. Frailty screening with comprehensive geriatrician-led multidisciplinary assessment for older adults during emergency hospital attendance in Ireland (SOLAR): a randomised controlled trial. Lancet Healthy Longev. 2024 Nov;5(11):100642. doi: 10.1016/j.lanhl.2024.100642. Epub 2024 Nov 11.

  PMID: 39541993 DERIVED

• Leahy A, McNamara R, Reddin C, Corey G, Carroll I; SOLAR team; O'Neill A, Flannery D, Devlin C, Barry L, MacCarthy B, Cummins N, Shanahan E, Shchetkovsky D, Ryan D, O'Connor M, Galvin R. The impact of frailty Screening of Older adults with muLtidisciplinary assessment of those At Risk during emergency hospital attendance on the quality, safety and cost-effectiveness of care (SOLAR): a randomised controlled trial. Trials. 2021 Aug 31;22(1):581. doi: 10.1186/s13063-021-05525-w.

  PMID: 34465368 DERIVED

MeSH Terms

Conditions

Frailty; Emergencies

Interventions

Geriatric Assessment

Condition Hierarchy (Ancestors)

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

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 Officials

• Rose Galvin, phD

  University of Limerick

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The outcome assessor will be unaware if the participant was in control or intervention arm
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomised control trial

Study Record Dates

• First Submitted: November 2, 2020
• First Posted: November 16, 2020
• Study Start: November 9, 2020
• Primary Completion: May 13, 2021
• Study Completion: January 15, 2023
• Last Updated: June 13, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR
• Time Frame: The study protocol will be prepared for publication in an open access journal. the study protocol will include the Statistical Analysis Plan and Informed Consent Form. It is likely to be published in Quarter 2 of 2021. The Clinical Study Report will be made publicly available in the form of a peer reviewed publication in late 2021.
• Access Criteria: Supporting information will be available on peer reviewed publications.

Locations

IE (1)