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

NCT ID: NCT03751319

Last Updated: 2021-08-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

432 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-11

Study Completion Date

2021-07-02

Brief Summary

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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.

Detailed Description

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Conditions

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Frail Elderly Syndrome Patient Admission Hospital Readmission Length of Stay Fall Quality of Life

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized Controlled Trial
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Standard Emergency Care + CGA

Standard Care is provided for the acute condition as usual by the ED personnel. Besides the standard care provided by ED personnel, patients are systemically screened and assessed by physician trained for geriatrics or geriatric emergency medicine. Geriatric multi-discipline treatment plan and recommendations are given if suitable for the case.

Group Type ACTIVE_COMPARATOR

CGA

Intervention Type OTHER

Comprehensive Geriatric Assessment

Standard Emergency Care

Standard Care is provided for the acute condition as usual by the ED personnel.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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CGA

Comprehensive Geriatric Assessment

Intervention Type OTHER

Eligibility Criteria

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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.
Minimum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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City of Espoo

UNKNOWN

Sponsor Role collaborator

University of Helsinki

OTHER

Sponsor Role collaborator

Helsinki University Central Hospital

OTHER

Sponsor Role lead

Responsible Party

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Janne Alakare

Senior physician in Emergency Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Veli-Pekka Harjola

Role: STUDY_DIRECTOR

Department of Emergency Medicine and Services, Helsinki University Hospital

Janne Alakare, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Emergency Medicine and Services, Helsinki University Hospital

Locations

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Helsinki University Hospital, Jorvi ED

Espoo, Uusimaa, Finland

Site Status

Countries

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Finland

References

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Alakare J, Kemp K, Strandberg T, Castren 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/s12877-021-02351-2.

Reference Type RESULT
PMID: 34215193 (View on PubMed)

Related Links

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https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-021-02351-2

Alakare, J., Kemp, K., Strandberg, T. et al. Systematic geriatric assessment for older patients with frailty in the emergency department: a randomised controlled trial. BMC Geriatr 21, 408 (2021). https://doi.org/10.1186/s12877-021-02351-2

Other Identifiers

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HUS1171/2018

Identifier Type: OTHER

Identifier Source: secondary_id

TYH2018304

Identifier Type: -

Identifier Source: org_study_id

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