European Geriatric Emergency Departments Registry Study

NCT04680299 | Unknown DMC

• 1 other identifier: EUSEM-1
• Study Type: observational
• Target: 3,000
• Locations: 6 countries
• Sites: 7

Brief Summary

Geriatric presentations to emergency services comprise a significant percentage of all emergency service presentations in Europe and it has been reported that 3-23% of all emergency service presentations from various regions of the countries. There are specific management practices for patients who are 65 years and older at emergency services. On the other hand several risk-scoring systems have been developed to define the severity class of the patient during their initial evaluation at emergency services.Only a few studies in the literature have evaluated risk-scoring systems for the geriatric patient group.Several studies have reported that risk-scoring systems, such as Identification of Seniors at Risk and Triage Risk Screening Tool, which are specifically developed for geriatric patients over 65 years who present to emergency services, are not sufficiently effective for evaluating patients in more severe conditions. Previously the TEDGeS (Turkish Emergency Departments Geriatric Scoring Study) pilot study was carried out and published by some of the investigators of this project.This pilot study enrolled all geriatric patients (age ≥ 65 years) and carried out in 13 centers from different cities of Turkey. This pilot study showed that geriatric patients not only constitute significant proportion of emergency department presentations but also these patients need more hospitalization. The predictive powers of the Modified Early Warning Score, Rapid Emergency Medicine Score and The Vital PAC Early Warning Score for hospitalization and mortality in geriatric patients those presented to emergency department are significantly high and might be concerned in the emergency department triage of these patients. Within the light of these pilot study results, the investigators have decided to execute this prospective, multinational, multicentric study with the main objective to determine the epidemiological and age related characteristics of geriatric patients presenting to the emergency department across Europe and evaluate early warning scoring systems systems regarding hospitalization, ICU admission and in-hospital mortality for geriatric patients.

Conditions

Geriatric Patients; Emergencies; Length of Stay; Early Warning Score; Hospital Mortality

Keywords

Older Patients; Emergency Department; Early Warning Score

Outcome Measures

Primary Outcomes (1)

• Medical history and co-morbidities

  Listing of medical history and co-morbidities data provided by triage nurse, physician and the family during emergency department admission

  Baseline

Secondary Outcomes (3)

• Length of Emergency Department stay

  Up to 96 hours after registration to the ED

• Length of Hospital stay

  30 days after recruitment

• In Hospital Mortality

  30 days after recruitment

Eligibility Criteria

• Age: 65 Years - 110 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients ≥ 65 years of age those presented to Emergency Departments with any symptom during the recruitment period of the study

You may qualify if:

• Consecutive geriatric patient presenting to the ED with any symptom
• years or older

You may not qualify if:

• No acceptance to participated to the study
• End of life patients

Sponsors & Collaborators

• Gazi University: lead
• European Society for Emergency Medicine (EUSEM) Research Network: collaborator

Study Sites (7)

Clinical Hospital Sveti Duh

Zagreb, 10 000, Croatia

RECRUITING

CHU Tours

Tours, 37170, France

RECRUITING

Charité Universitätsmedizin

Berlin, Duitsland, 10117, Germany

RECRUITING

University General Hospital ATTIKONi

Chaïdári, Griekenland, 12462, Greece

RECRUITING

St Michael's Hospital

Dublin, A96D628, Ireland

RECRUITING

Gazi University

Ankara, 06580, Turkey (Türkiye)

RECRUITING

Necmettin Erbakan University Meram Medical Faculty

Konya, 42080, Turkey (Türkiye)

RECRUITING

Related Publications (9)

• Dundar ZD, Ergin M, Karamercan MA, Ayranci K, Colak T, Tuncar A, Cander B, Gul M. Modified Early Warning Score and VitalPac Early Warning Score in geriatric patients admitted to emergency department. Eur J Emerg Med. 2016 Dec;23(6):406-412. doi: 10.1097/MEJ.0000000000000274.

  PMID: 25919485 BACKGROUND

• Cei M, Bartolomei C, Mumoli N. In-hospital mortality and morbidity of elderly medical patients can be predicted at admission by the Modified Early Warning Score: a prospective study. Int J Clin Pract. 2009 Apr;63(4):591-5. doi: 10.1111/j.1742-1241.2008.01986.x. Epub 2009 Feb 11.

  PMID: 19220521 BACKGROUND

• Dundar ZD, Ayranci MK. Presenting symptoms of older emergency department patients: a single-center experience of 10,692 patients in Turkey. Acta Clin Belg. 2020 Dec;75(6):405-410. doi: 10.1080/17843286.2019.1655215. Epub 2019 Aug 12.

  PMID: 31402765 BACKGROUND

• Lamantia MA, Stewart PW, Platts-Mills TF, Biese KJ, Forbach C, Zamora E, McCall BK, Shofer FS, Cairns CB, Busby-Whitehead J, Kizer JS. Predictive value of initial triage vital signs for critically ill older adults. West J Emerg Med. 2013 Sep;14(5):453-60. doi: 10.5811/westjem.2013.5.13411.

  PMID: 24106542 BACKGROUND

• Buurman BM, van den Berg W, Korevaar JC, Milisen K, de Haan RJ, de Rooij SE. Risk for poor outcomes in older patients discharged from an emergency department: feasibility of four screening instruments. Eur J Emerg Med. 2011 Aug;18(4):215-20. doi: 10.1097/MEJ.0b013e328344597e.

  PMID: 21317787 BACKGROUND

• Pines JM, Mullins PM, Cooper JK, Feng LB, Roth KE. National trends in emergency department use, care patterns, and quality of care of older adults in the United States. J Am Geriatr Soc. 2013 Jan;61(1):12-7. doi: 10.1111/jgs.12072.

  PMID: 23311549 BACKGROUND

• Platts-Mills TF, Travers D, Biese K, McCall B, Kizer S, LaMantia M, Busby-Whitehead J, Cairns CB. Accuracy of the Emergency Severity Index triage instrument for identifying elder emergency department patients receiving an immediate life-saving intervention. Acad Emerg Med. 2010 Mar;17(3):238-43. doi: 10.1111/j.1553-2712.2010.00670.x.

  PMID: 20370755 BACKGROUND

• Subbe CP, Kruger M, Rutherford P, Gemmel L. Validation of a modified Early Warning Score in medical admissions. QJM. 2001 Oct;94(10):521-6. doi: 10.1093/qjmed/94.10.521.

  PMID: 11588210 BACKGROUND

• Wheeler I, Price C, Sitch A, Banda P, Kellett J, Nyirenda M, Rylance J. Early warning scores generated in developed healthcare settings are not sufficient at predicting early mortality in Blantyre, Malawi: a prospective cohort study. PLoS One. 2013;8(3):e59830. doi: 10.1371/journal.pone.0059830. Epub 2013 Mar 29.

  PMID: 23555796 BACKGROUND

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

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

Study Officials

• Said Laribi, MD.

  CHU Tours

  PRINCIPAL INVESTIGATOR

• Effie Polyzogopoulou, MD.

  University General Hospital ATTIKON

  PRINCIPAL INVESTIGATOR

• Kelly Janssens, MD.

  Unity Health Toronto

  PRINCIPAL INVESTIGATOR

• Anna Slagman, MD.

  UKSH Campus Kiel

  PRINCIPAL INVESTIGATOR

• Mehmet A. Karamercan, MD.

  Gazi University Faculty of Medicine

  STUDY CHAIR

• Zerrin D. Dundar, MD

  Necmettin Erbakan University Meram Medicine Faculty

  STUDY CHAIR

Central Study Contacts

Mehmet A. Karamercan, MD

CONTACT

+905053487548; makaramercan@gazi.edu.tr

Zerrin D. Dundar, MD

CONTACT

+905324682555; zerdef@hotmail.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 30 Days
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Chair of Education and Fellowship Programme, Assoc. Prof.

Study Record Dates

• First Submitted: December 7, 2020
• First Posted: December 22, 2020
• Study Start: October 15, 2020
• Primary Completion: February 21, 2021
• Study Completion: October 1, 2021
• Last Updated: December 22, 2020

Record last verified: 2020-12

Locations

DE (1); CR (1); TU (2); FR (1); GR (1); IE (1)