The Prediction Model of Elderly Patients in Taiwan Triage and Acuity Scale

NCT04862936 | Unknown

• 1 other identifier: 202000012B0C502
• Study Type: observational
• Target: 1,000
• Locations: 1 country
• Sites: 1

Brief Summary

In the year of 2010, the Taiwan Ministry of Health and Welfare had implemented the 5-level Taiwan Triage and Acuity Scale(TTAS) in Taiwan emergency department. TTAS is a triage system that was modified from CTAS. It has a comprehensive chief complaint system and accomplished with an electronic decision support system (eTTAS) to help triage nurse to assign acuity level on emergency patients in emergency departments of Taiwan. TTAS has adult and children modifiers, but no modifier for the elderly. In emergency departments, the geriatric population have been increasing in many countries for the last few years. They often present with atypical symptoms or signs, and multiple comorbidities that complicate diagnosis and treatment and are at risk of under-triage. Although the TTAS has overall validity and reliability, its performance in geriatric patients has not been well studied. In order to reduce the chance to under-triage the geriatric patients in emergency departments and to improve the discriminatory and predictive power for triaged patients who require admission, the objective of the study is to examine the difference of urgency, admission rate and medical resource consumption of geriatric patients with different age group compared to non-geriatric patients, to develop predictive model for hospitalization and medical resource consumption among geriatric patients and to develop special geriatric modifiers.

Conditions

Frail Elderly Syndrome; Triage

Keywords

Triage; Frailty; Geriatric

Outcome Measures

Primary Outcomes (2)

• admission rate

  1 day (since patient come into ER until he leave from ER.)

• frailty scale

  1 day (since patient come into ER until he leave from ER.)

Eligibility Criteria

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

Study Population

Patients over 65 years old who go to the emergency department.

You may qualify if:

• Patients over 65 years old who go to the emergency department.
• Those who are willing to participate in the trial and sign a consent form and are willing to be tracked.

You may not qualify if:

• Patients under 65 years old who go to the emergency department.
• Patients over 65 years old who go to the emergency department, unwilling to participate in the trial and sign the consent.

Sponsors & Collaborators

• Chang Gung Memorial Hospital: lead
• Changhua Christian Hospital: collaborator
• Taipei City Hospital: collaborator

Study Sites (1)

Chang Gung Memorial Hospital

Taoyuan District, 333, Taiwan

Location

MeSH Terms

Conditions

Frailty

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Chip Jin Ng, Dr.

  Chang Gung Memorial Hospital

  PRINCIPAL INVESTIGATOR

• Tsung Hsien Chao, Dr.

  Chang Gung Memorial Hospital

  STUDY DIRECTOR

• Cheng Yu Chien, Dr.

  Chang Gung Memorial Hospital

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Target Duration: 3 Days
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 26, 2021
• First Posted: April 28, 2021
• Study Start: January 31, 2020
• Primary Completion: July 31, 2021
• Study Completion: July 31, 2021
• Last Updated: April 28, 2021

Record last verified: 2021-01

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, CSR, ANALYTIC CODE

Locations

TW (1)