Emergencies Clinical Trial
— ER2Official title:
Emergency Room Visits and Older Patients: Assessment of Jewish General Hospital Program Screening Frail Users
Today's population is living longer than prior generations. Senior patients, defined as 65 years or older, are therefore increasing in number, and representing a larger number of hospitalized patients. Thus, assessing and addressing the needs of the growing number of older ER users is essential. The overall objective of the study is to examine the feasibility and the epidemiology of two screening tools ("Programme de Recherche sur l'Intégration des Services pour le Maintien de l'Autonomie" (PRISMA-7) and Emergency Room Evaluation and recommendations (ER2)) used in the Emergency Room of Jewish General Hospital to screen older patients (i.e.; ≥65 years) at risk of adverse health events. A prospective observational cohort design will be used for the study's two phases; phase 1- assessment and phase 2- assessment as well as recommendations.
Status | Recruiting |
Enrollment | 1098 |
Est. completion date | September 1, 2025 |
Est. primary completion date | September 1, 2021 |
Accepts healthy volunteers | |
Gender | All |
Age group | 65 Years and older |
Eligibility | Inclusion Criteria: - Age = 65 years. - Unplanned ER visits. Exclusion Criteria: - Death within the 24 hours of first visiting ER. - Palliative care due to ER visit. |
Country | Name | City | State |
---|---|---|---|
Canada | Jewish General Hospital | Montréal | Quebec |
Lead Sponsor | Collaborator |
---|---|
Jewish General Hospital |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Feasibility of using both tools in the ER | Percentage of participants with complete filed tools (older patients with tools filed / (older patients visiting the ER) x 100) will be calculated. | 1 day | |
Primary | Prevalence of tools filed | Prevalence will be calculated for PRISMA-7, ER2 and pooled tools respectively. | 1 day | |
Secondary | Feasibility of tools | Estimation of quality of filling using the percentage of items filled in for participants with an incomplete tool. | 1 day | |
Secondary | Length of stay | The LHS will be calculated using the administrative registry of the JGH and will correspond to the delay in days between the first day of admission to ED and the last day of hospitalization in the acute ward(s). | 1 day | |
Secondary | Acute medical events | Acute medical events occurring during the period of the ER visit and admission to the medical or surgery ward (acute organ failure, nosocomial infection, fall or death) | 1 day |
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