Geriatric, Frailty, Emergency Department Clinical Trial
— FREEDOMOfficial title:
FRailty Among Elderly Emergency Department Patients With Outcome Measures
| Verified date | March 2022 |
| Source | National University Hospital, Singapore |
| Contact | n/a |
| Is FDA regulated | No |
| Health authority | |
| Study type | Observational |
Our study aims to compare 4 clinical frailty scores, namely Clinical Frailty Scale (CFS), Edmonton Frail Scale (EFS), FRAIL 5-item scale (FRAIL) and SARC-F Sarcopenia Score (SARC-F), which can potentially be adopted for daily practice in the busy ED. It is timely as we projected that we will be seeing more elderly patients attending the ED for various medical and surgical conditions. Their attendance at the ED would be a good opportunity to screen for frailty among them, and to intervene to prevent adverse outcomes such as ED re-attendance or subsequent hospitalisation that might lead to poor functional outcomes and higher dependence on step-down care facilities.
| Status | Active, not recruiting |
| Enrollment | 211 |
| Est. completion date | December 1, 2023 |
| Est. primary completion date | December 1, 2022 |
| Accepts healthy volunteers | No |
| Gender | All |
| Age group | 65 Years and older |
| Eligibility | Inclusion Criteria: - Elderly patients aged 65 years and above attending ED irrespective of reason for attendance. Exclusion Criteria: - Haemodynamically unstable patients - Inability to obtain informed consent - Inability to obtain reliable information from patient or caregiver (e.g. deafness, blindness, language barriers) - Vulnerable populations (e.g. prisoners) - Patients who are planned for hospital admission from the ED |
| Country | Name | City | State |
|---|---|---|---|
| Singapore | National University Hospital, Singapore | Singapore |
| Lead Sponsor | Collaborator |
|---|---|
| National University Hospital, Singapore |
Singapore,
Morley JE, Vellas B, van Kan GA, Anker SD, Bauer JM, Bernabei R, Cesari M, Chumlea WC, Doehner W, Evans J, Fried LP, Guralnik JM, Katz PR, Malmstrom TK, McCarter RJ, Gutierrez Robledo LM, Rockwood K, von Haehling S, Vandewoude MF, Walston J. Frailty consensus: a call to action. J Am Med Dir Assoc. 2013 Jun;14(6):392-7. doi: 10.1016/j.jamda.2013.03.022. — View Citation
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | 1-month Adverse Event Occurrence (composite) | Falls, ED re-attendance, hospital/ nursing home admission, decline in Activities of Daily Living and/or all-cause mortality | At 1 month after index ED visit | |
| Secondary | 3-month Adverse Event Occurrence (composite) | Falls, ED re-attendance, hospital/ nursing home admission, decline in Activities of Daily Living and/or all-cause mortality | At 3 months after index ED visit |