The Prediction Model of Elderly Patients in Taiwan Triage and Acuity Scale

Frail Elderly Syndrome Clinical Trial

Official title:

The Analysis of Prediction Model of Elderly Patients Visiting Emergency Department in Taiwan Triage and Acuity Scale

Clinical Trial Details — Status: Enrolling by invitation

Administrative data

• NCT number: NCT04862936
• Other study ID #: 202000012B0C502
• Status: Enrolling by invitation
• Start date: January 31, 2020
• Est. completion date: July 31, 2021

Study information

• Verified date: January 2021
• Source: Chang Gung Memorial Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

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.

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.

Recruitment information / eligibility

• Status: Enrolling by invitation
• Enrollment: 1000
• Est. completion date: July 31, 2021
• Est. primary completion date: July 31, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• Patients over 65 years old who go to the emergency department.

• Those who are willing to participate in the trial and sign a consent form and are willing to be tracked.

Exclusion Criteria:

• Patients under 65 years old who go to the emergency department.

• Patients over 65 years old who go to the emergency department, unwilling to participate in the trial and sign the consent.

Related Conditions & MeSH terms

• Frail Elderly Syndrome
• Triage

Locations

Country	Name	City	State
Taiwan	Chang Gung Memorial Hospital	Taoyuan

Sponsors (3)

Lead Sponsor	Collaborator
Chang Gung Memorial Hospital	Changhua Christian Hospital, Taipei City Hospital

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	admission rate		1 day (since patient come into ER until he leave from ER.)
Primary	frailty scale		1 day (since patient come into ER until he leave from ER.)