A Prospective Cohort Study of Clinical and Process Outcomes of Older Adults That Transition Through the Geriatric Emergency Medicine Unit(GEM-U)

NCT07237334 | Recruiting

• 1 other identifier: GEM-U2025
• Study Type: observational
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

This study will characterise the patients using the Geriatric Emergency Medicine Unit, a unit which provides specialist care for patients aged 75 years and older attending the emergency department. It will examine how this specialist care impacts their health in terms of a number of different outcomes, such as; function, quality of life and health care usage; for example admission to the acute hospital.

Conditions

Frailty

Keywords

Comprehensive Geriatric Assessment

Outcome Measures

Primary Outcomes (1)

• Our primary outcome is incidence of hospital admission at index GEM-U presentation

  Patients who attend GEM-U and have an acute hospital admission at this time

  Patients are followed at 30 days and 6 months

Secondary Outcomes (5)

• Mortality

  Patients are followed at 30 days and 6 months

• Unscheduled ED revisit

  Patients are followed at 30 days and 6 months

• Unscheduled hospital visit(s)

  Patients are followed at 30 days and 6 months

• Nursing home admission

  Patients are followed at 30 days and 6 months

• Healthcare utilization (GP visit, out-patient geriatric services, PHN visit, HSCP services)

  Patients are followed at 30 days and 6 months

Eligibility Criteria

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

Study Population

All prospective older adults attending the GEMU that meet inclusion criteria will be invited to participate. However, this will be limited to the working hours of the research team (Monday-Friday, 8:00-20:00).

You may qualify if:

• Older adults aged ≥75 years
• Manchester Triage System category 2-5
• Screen positive for risk of adverse outcomes after ED visit (≥ 2 on ISAR screening tool)
• Presenting with a medical condition
• Reviewed by the Older Persons Integrated Care Team

You may not qualify if:

• Patients presenting with a non-medical issue including major trauma or hip fracture
• Patients presenting with acute stroke or transient ischaemic attack
• Patients more appropriate to another alternative pathway e.g. deep vein thrombosis pathway, low risk chest pain pathway
• Patients with acute coronary syndrome or unstable arrthymia
• Patients requiring care in the resuscitation room
• Patients with head injury (unless appropriate assessment and management has been fully completed by ED team)
• Patients with possible spinal injury (unless appropriate assessment and management has been fully completed by ED/orthopaedic team)
• Patients with low Glasgow Coma Scale

Sponsors & Collaborators

• University of Limerick: lead

Study Sites (1)

University Hospital Limerick

Limerick, Munster, V94 F858, Ireland

RECRUITING

MeSH Terms

Conditions

Frailty

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Ida Carroll

  University of Limerick

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ida M Carroll, MSc

CONTACT

0860638269; 09006791@studentmail.ul.ie

Rose Galvin

CONTACT

0868463842; rose.galvin@UL.ie

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 14, 2025
• First Posted: November 19, 2025
• Study Start: February 10, 2025
• Primary Completion: March 30, 2026
• Study Completion: March 30, 2026
• Last Updated: November 19, 2025

Record last verified: 2025-11

Locations

IE (1)