Cognitive Impairment Clinical Trial
Official title:
Identification of Risk Patients in Emergency Medical Services
Verified date | January 2022 |
Source | Helsinki University Central Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
Background: Inadequate nutrition has been associated with growing risk of falling and impaired ability in elderly patients. Falling is a significant threat to the health of the elderly. It is estimated that one third of people over the age of 65 experience at least one falling each year. Over 60% of the falls cause serious injury or disability. Adequate nutrition increases the muscle strength of the elderly. Therefore, determining and managing the nutrition level is important for preventing falling. As far as we know emergency medical services has never before reported being a part of prevention by performing risk identification.
Status | Completed |
Enrollment | 500 |
Est. completion date | January 28, 2022 |
Est. primary completion date | January 28, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 70 Years to 104 Years |
Eligibility | Inclusion Criteria: - All people over the age of 70 requiring ambulance transport will be included in the study for 4 months during 2018. Exclusion Criteria: - |
Country | Name | City | State |
---|---|---|---|
Finland | Department of Emergency Medicine and Services, Helsinki University Hospital and Helsinki University, Helsinki, Finland | Helsinki | Helsinki Usimaa |
Lead Sponsor | Collaborator |
---|---|
Helsinki University Central Hospital | University of Helsinki |
Finland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Identifying in the ambulance those patients who are at risk (total scores over sections) | Subscales are combined to compute a total score, if more than three points in total, the patient is considered to be a risk patient. | Through study completion an average of 12 months | |
Primary | Identifying in the ambulance those patients who are at risk (over 3 points in a single section) | to use a simple screening tool to find out the risk of falling, the nutritional status and the level of cognitive functioning activity when the EMS faces the elderly over the age of 70 The risk-screening tool is based on valid scales. RISK SCREENING TOOL;
Risk of falling: Prediction of falls (4 items, 0-3 points) Self-reporting of falls over a 12-month period (3 items, 0-3 points) Malnutrition Risk: Home care and meal services (Yes, No) Nutritional status (4 items, 0-3 points) Effect of the diseases on nutrition (4 items, 0-3 points) Age (1 item, 1 point) Delirium and cognitive functioning: Alertness / memory / attention deficit / symptoms (4 items, 0-3 points) Complete when: > 70 years patient The patient's physical state allows. Mostly completed during transport (no need to add actual time on scene). Possible risk points are reported at donation to the emergency department. |
Through study completion an average of 12 months |
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