Older Emergency Department Users and Hospitalization After an Index Visit: Results of ER2 Database

Chronic Conditions, Multiple Clinical Trial

Official title:

Older Emergency Department Users and Hospitalization After an Index Visit: Results of ER2 Database

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT04017273
• Other study ID #: 2020-1882
• Status: Active, not recruiting
• Start date: July 23, 2019
• Est. completion date: December 1, 2025

Study information

• Verified date: February 2024
• Source: Jewish General Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This study evaluates the recommendations of a screening tool called: ER2 (Emergency Room Evaluation and Recommendations Form).This stool is used in Emergency Department by nurses, and it supposes to measure patient risk score.

Description:

Crowding and delay became chronic conditions in emergency departments (EDs) in high income countries. Emergency medicine has the mandate to provide care to any patient requesting treatment 24 hours a day. As there is a lack of primary care physicians who are able to provide the necessary care to patients, they are forced to seek care in ED. Among these ED users, more and more patients are aged over 65 and account for up to a quarter of all ED users. Older ED users comparted to their younger counterparts are more at risk for long length of stay in ED and hospital, and hospital admission during an index ED visit. The occurrence of these short-terms adverse events may be reduced if older ED users risk is assessed upon their ED arrival. Few studies have examined risk for short-terms adverse events. They suggested that clinical tools based on a brief geriatric assessment with timely appropriate interventions could reduce the occurrence of short-terms ED adverse events.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 10971
• Est. completion date: December 1, 2025
• Est. primary completion date: May 1, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 75 Years and older

Eligibility

Inclusion Criteria:

• Being 75 years and over
• Brought at Emergency on medical stretcher

Exclusion Criteria:

• Being less than 75 years old
• Never come at Emergency

Related Conditions & MeSH terms

• Chronic Conditions, Multiple
• Chronic Disease
• Emergencies
• Medical Emergencies
• Multiple Chronic Conditions

Locations

Country	Name	City	State
Canada	Jewish General Hospital	Montréal	Quebec

Sponsors (1)

Lead Sponsor	Collaborator
Jewish General Hospital

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Long length of hospital stay	Long length of hospital stay represents an indicator of efficiency, and it refers to the average number of day that a patient spends in hospital.	Around 10 months