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NCT03751319 Clinical Trial

Geriatric Assessment and Intervention for Older Patients With Frailty in the Emergency Department

Quality of Life Clinical Trial

— GAOPS  

Official title:
Geriatric Assessment and Intervention for Older Patients With Frailty in the Emergency Department. Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT03751319
Other study ID # TYH2018304
Secondary ID HUS1171/2018
Status Completed
Phase N/A
First received
Last updated
Start date December 11, 2018
Est. completion date July 2, 2021

Study information
Verified date August 2021
Source Helsinki University Central Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Comprehensive Geriatric Assessment (CGA) is an established approach for better detection of frailty-related problems and includes individualized treatment plan with multi-discipline supportive and treating measures for the older frailty patients. However, there is limited evidence of feasibility and efficacy of the CGA when provided in the emergency department setting. In the GAOPS-study the efficacy of the CGA in emergency department setting will be studied by randomized controlled study protocol. We aim to study if the CGA provided in the ED is feasible, safe and efficient method when added with standard emergency care for older frail patients.

Recruitment information / eligibility
Status Completed
Enrollment 432
Est. completion date July 2, 2021
Est. primary completion date June 7, 2020
Accepts healthy volunteers No
Gender All
Age group 75 Years and older
Eligibility Inclusion Criteria: - Age of minimum 75 years - "Clinical Frailty Scale" minimum 4 estimated at the arrival to the ED by nurse Exclusion Criteria: - Non-resident of the counties (City of Espoo, Kirkkonummi, Kauniainen) of the hospital district.

Study Design

Related Conditions & MeSH terms

Intervention

Other:
• CGA
Comprehensive Geriatric Assessment

Locations
Country Name City State
Finland Helsinki University Hospital, Jorvi ED Espoo Uusimaa

Sponsors (3)
Lead Sponsor Collaborator
Helsinki University Central Hospital City of Espoo, University of Helsinki

Country where clinical trial is conducted

Finland, 

References & Publications (1)

Alakare J, Kemp K, Strandberg T, Castrén M, Jakovljevic D, Tolonen J, Harjola VP. Systematic geriatric assessment for older patients with frailty in the emergency department: a randomised controlled trial. BMC Geriatr. 2021 Jul 2;21(1):408. doi: 10.1186/s — View Citation

Outcome
Type Measure Description Time frame Safety issue
Other Length-of-Stay in the ED Length-of-Stay (h) of the index-visit in the ED Day 0
Other Length-of-Stay in the ward Length-of-Stay (d) in the hospital ward of admitted patients from the index-visit in the ED Day 365
Other Mortality Mortality during the one-year follow-up. Day 365
Other Falls Number of falls which result in new ED visit during the one-year follow-up Day 365
Primary Cumulated Length of Stay Cumulated stay (days) in hospital wards (university hospital and community hospital) including all admissions during the follow-up. Day 365
Secondary Admissions Number of admissions to the hospital wards (university hospital and community hospital) during the follow-up. Day 30, Day 365
Secondary Admission rate Proportion of admitted patients (university hospital or community hospital ward) from the index ED-visits. Day 0
Secondary Readmissions in the ED Re-visits to the ED after the index-visit. Hour 72, Day 30, Day 365
Secondary Living at home Proportion of the patients living at home. Day 365
Secondary Quality of Life Change of the quality of life during one year follow-up using the standardized questionnaire EuroQol EQ-5D-5L. Measured value is the index value defined by the EuroQol group. Day 0, Day 365
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