PALLIATIVE ASSESSMENT COHORT IN THE GERIATRIC EMERGENCY SETTING

NCT06911411 | Not Yet Recruiting

• 1 other identifier: Capital Region DK P-2023-15
• Study Type: observational
• Target: 300
• Locations: 0 countries
• Sites: N/A

Brief Summary

The PALMA project is part of a larger palliative research program COPAL in Capital Region of Denmark led by Professor Tom Møller. PALMA aims to improve palliative care for geriatric patients transitioning from emergency-hospital to primary care. The project addresses the lack of a systematic approach for assessing and managing palliative symptoms in geriatric patients to enhance communication between hospitals and municipal health care services. The PALMA cohort investigates the applicability of systematic palliative assessment (EORTC-C15 PAL) in the geriatric emergency setting combined with measures of frailty, socio-demographic risks, and cross-sectoral healthcare support.

Conditions

Geriatric; Palliative Care; Socio-demographic Risk; Frailty at Older Adults; Loneliness; Collaborative Care; Transition of Care

Outcome Measures

Primary Outcomes (1)

• Mortality

  Mortality rates at 3 and 6 months

  Patient observation time is 6 months

Study Arms (1)

Palliative assessment group of acutely admitted older patients

Other: Prospective observational cohort study.; Other: A prospective observational cohort study

Interventions

Prospective observational cohort study. OTHER

No systematic approach exists for symptom assessment, management, and reporting in delivered basic palliative care within the Danish healthcare system, implying considerable variation in hospital-based palliative care. The PALMA study consists of two superior phases divided in a development and an implementation stage that anchors basic palliative assessment and management within existing geriatric workflows and cross-sectoral collaborative care. The PALMA cohort will test the applicability of the EORTC-C15-PAL questionnaire along with measures of clinical frailty and sociodemographic risk factors. The development phase will enable the development of a clinical algorithm for elderly patients' need for cross-sectoral palliation care planning.

Palliative assessment group of acutely admitted older patients

A prospective observational cohort study OTHER

Observational design

Palliative assessment group of acutely admitted older patients

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients in the geriatric emergency department are 65 years of age or older and referred by their own general practitioner or specialist for assessment and treatment of an acute medical problem. Approximately one-third are admitted and two-thirds are discharged to home facilities.

Sponsors & Collaborators

• University Hospital Bispebjerg and Frederiksberg: lead
• The Danish Health Authority: collaborator

Central Study Contacts

Trine Hasloev H Project leader, Master of Science

CONTACT

+4522475483; trine.herskind.hasloev@regionh.dk

Tom Moeller, Professor, PhD

CONTACT

21462542; tom.moeller@regionh.dk

Study Design

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

Study Record Dates

• First Submitted: March 21, 2025
• First Posted: April 4, 2025
• Study Start: April 1, 2025
• Primary Completion (Estimated): December 30, 2026
• Study Completion (Estimated): December 30, 2026
• Last Updated: April 4, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share