Triage Assessment and NEWS-score as Risk Predictor in Older Frailty Adults in the ED

Frailty Clinical Trial

Official title:

3-level Triage Assessment and National Early Warning Score as Predictor for Mortality, Hospital Admission and ED Readmission for Older Frailty Patients in the ED

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03783234
• Other study ID #: HUS/278/2018
• Status: Completed
• Start date: December 11, 2018
• Est. completion date: October 28, 2020

Study information

• Verified date: January 2022
• Source: Helsinki University Central Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Emergency Department Triage Systems have not been shown to sufficiently recognize frail elderly patients in need of urgent assessment and care. In this prospective, observational study the performance of the 3-level triage system and the National Early Warning Score (NEWS) 2 are assessed (separately and combined) for predicting adverse outcomes in older frailty patients visiting in the ED. Observational data for this study is gathered as part of GAOPS - main study (ClinicalTrials.gov Identifier: NCT03751319).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1711
• Est. completion date: October 28, 2020
• Est. primary completion date: September 1, 2019
• Gender: All
• Age group: 75 Years and older

Eligibility

Inclusion Criteria:

• "Clinical Frailty Scale" minimum 4 estimated at the arrival to the ED by nurse

Exclusion Criteria:

• Non-resident of the counties (City of Espoo, Kirkkonummi, Kauniainen) of the hospital district.

Related Conditions & MeSH terms

• Aged
• Frailty
• Triage

Locations

Country	Name	City	State
Finland	Helsinki University Central Hospital, Jorvi	Espoo

Sponsors (3)

Lead Sponsor	Collaborator
Helsinki University Central Hospital	City of Espoo, University of Helsinki

Country where clinical trial is conducted

Finland, 

References & Publications (1)

Kemp K, Alakare J, Harjola VP, Strandberg T, Tolonen J, Lehtonen L, Castrén M. National Early Warning Score 2 (NEWS2) and 3-level triage scale as risk predictors in frail older adults in the emergency department. BMC Emerg Med. 2020 Oct 28;20(1):83. doi: — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Mortality	Mortality during the 30 day follow-up	30 days
Secondary	Hospital admission	Admission to hospital from the Emergency Department	Day 0
Secondary	ICU/HDU admission	Admission to the Intensive Care Unit or High Dependency Unit from the Emergency Department	Day 0
Secondary	Readmission in the ED	Re-visits to the ED after the index-visit	Hour 72, Day 30

External Links

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