Geriatric Disorder Clinical Trial
Official title:
Acute Medical Admission of ELDERly Patients (≥75yrs) to Either Fast Track or Traditional Inward Hospitalisation. A Randomised Controlled Trial
To evaluate differences in health outcomes among elderly patients (age ≥ 75 years) treated in a Quick Diagnostic Unit (QDU) compared to the Department of Internal Medicine (DIM). A QDU is a medical Short Stay Unit (SSU).
The Danish emergency care system is undergoing major changes; Emergency Departments (ED) are
now centralised at fewer hospitals, thus the ED now serve as the single point of entry for
all acute patients. Another initiative, has been the establishment of a Quick Diagnostic
Unit (QDU) as a subunit in the ED. The QDU is a ward for fast track diagnostics and
treatment of stable medical patients that is believed to optimise in-hospital care by
quicker diagnosis and shorter hospitalisations, and minimise time for patients to return to
their habitual health status. However, little evidence exists on the putative benefits for
elderly patients treated in a QDU setting.
In this study, we will examine the benefits and drawbacks of treatment of elderly medical
patients (≥75 years) in an acute treatment system with the possibility of fast-track
admission and treatment, rather than treatment in the traditional medical system. We will
randomise patients to treatment in either a fast track ward/short stay unit, the QDU, or to
standard treatment at the Dept. of Internal Medicine (DIM).
We hypothesise that treatment in a QDU compared to DIM offers optimised care through
immediate access to clinical staff and rapid diagnostic facilities, treatment and quicker
rehabilitation.
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