Clinical Trials Logo

Clinical Trial 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.


Clinical Trial Description

Age and frailty have been demonstrated to be associated with clinical outcomes in the elderly presented to emergent departments (EDs). This study aimed to assess the association of age and frailty on admission rate and to find out whether the current Taiwan Triage and Acuity Scale (TTAS) under-triage elderly presented to EDs. This was a retrospective cohort study that reviewed medical records of adult patients from a single ED from 2016 to 2017. Data collected included patients' demographics, TTAS level, chief complaints, frailty status, and intensive care unit (ICU) admission rate. Adults patients included in the study were divided into three age groups of 18-<65, 65-85, and >85 years. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT04862936
Study type Observational [Patient Registry]
Source Chang Gung Memorial Hospital
Contact
Status Enrolling by invitation
Phase
Start date January 31, 2020
Completion date July 31, 2021

See also
  Status Clinical Trial Phase
Recruiting NCT04792983 - Cognition and the Immunology of Postoperative Outcomes
Completed NCT03271112 - Frailty Prevention in Elders From Reunion Island N/A
Recruiting NCT03141866 - Seated Physical Activity in Ageing N/A
Completed NCT03180606 - Enhanced Primary Care for Elderly
Recruiting NCT05940779 - Relationship Between the Risk of Falls and Frailty, and the Effect of a Physical Exercise Program on These Conditions in the Elderly: a Randomized Crossover Clinical Trial. N/A
Active, not recruiting NCT05961319 - Smart Home Technologies for Assessing and Monitoring Frailty in Older Adults
Recruiting NCT04518423 - Prevalence, Determinants and Natural History of Frailty and Pre-frailty in Elderly People
Completed NCT03883425 - Frailty and Complexity Among Home Service Recipients
Recruiting NCT03657940 - Impact of a Multicomponent Exercise Program on Functional Capacity in Frail Aged Participants With Cognitive Decline N/A
Withdrawn NCT03176030 - Fortified Foods in Older Inpatients
Completed NCT03724461 - Effects of Resistance Training With High vs. Light-moderate Loads on Muscle-tendon Function in the Elderly N/A
Completed NCT04615533 - Validity Reliability of FrailBESTest in Older Adults
Recruiting NCT04238494 - Muscle Multi-parametric NMR Imaging Development in Aged People With Sarcopenia or Frailty Syndrome; CLINical Study N/A
Active, not recruiting NCT06079762 - AGE SELF CARE: Promoting Healthy Aging Through a Group Visit Program N/A
Not yet recruiting NCT06019390 - eHealth for Screening Health Risks in Home-Based Older Adults: A Prospective Study N/A
Recruiting NCT03534765 - Frailty and Sarcopenia Outcomes in Emergency General Surgery
Active, not recruiting NCT03721471 - Outcome of Very Old Patients Admitted for Elective Major Surgery, the Effect of Frailty
Completed NCT03689322 - Effects of WBV Associated With IMT on Inflammatory Markers, Body Composition, Muscle Strength and Thickness N/A
Completed NCT03688932 - Effects of WBV Associated With IMT on Functionality N/A
Recruiting NCT03068299 - Effects of Music and Dance on Cognition, Frailty, and Burden in Elderly Caregivers Living in Rural Communities N/A