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NCT04022551 Clinical Trial

Emergency Room Evaluation and Recommendations for Older Users of Emergency Departments

Multimorbidity Clinical Trial

Official title:
Emergency Room Evaluation and Recommendations for Older Users of Emergency Departments: a Cohort Study Database on the Effects of ER2 Recommendations on Length of Stay and Hospital Admission

Clinical Trial Details — Status: Active, not recruiting

Administrative data
NCT number NCT04022551
Other study ID # 2020-1851
Secondary ID
Status Active, not recruiting
Phase
First received
Last updated
Start date July 23, 2019
Est. completion date September 1, 2024

Study information
Verified date February 2024
Source Jewish General Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The study evaluates if the Emergency Room Evaluation and Recommendation Tool (ER2) reduces the hospital admission rate and the length of stay in Emergency.

Description:

Regardless of the reason for ED visit and its care plan, there are simple interventions, which may be continued to prevent short-term ED adverse outcomes. Delirium, motor deconditioning, adverse drug reactions due to polypharmacy, and inappropriate home support are the main conditions to target when taking care of older ER users. Evidence based medicine showed that simple and early intervention in the process of care may prevent delirium (e.g., hydration, avoid restraint, mobilize and satisfy basic needs, time and place reorientation) and motor deconditioning (e.g., encourage mobility, up to chair at meal time during day light hours, provide appropriate walking aid) in older patients. The medication reconciliation is also an efficient intervention for the prevention of adverse drug reactions. Furthermore, an early assessment of home support is a crucial step to adjust home services for an early discharge to home.

Recruitment information / eligibility
Status Active, not recruiting
Enrollment 4724
Est. completion date September 1, 2024
Est. primary completion date February 1, 2022
Accepts healthy volunteers
Gender All
Age group 75 Years and older
Eligibility Inclusion Criteria: - Being 75 years old and over - Being brought at Emergency on medical stretcher Exclusion Criteria: - Being less than 75 years old - Never come at Emergency

Study Design

Related Conditions & MeSH terms

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 Hospital admission rate by age The recommendation of the Emergency Room Evaluation Tool will be used to reduce the hospital admission rate in older at Emergency. Around 10 months
Secondary Length of stay at Emergency The recommendation of the Emergency Room Evaluation Tool will be used to reduce the length of stay at Emergency. Around 10 months
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