Connecting Emergency Departments With Community Services to Prevent Mobility Losses in Pre-frail & Frail Seniors
NCT ID: NCT03991598
Last Updated: 2019-06-19
Study Results
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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UNKNOWN
NA
1500 participants
INTERVENTIONAL
2017-07-01
2020-07-31
Brief Summary
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The aim of our study is to evaluate whether a suitable exercise program of one hour, twice a week for 12 weeks will limit functional losses \& fragility in injured older adults after their emergency department visit.
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Detailed Description
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In that context, identification of seniors at risk in EDs is crucial to implement effective interventions. The CETI has validated a simple Clinical Decision Rule (CETI-CDR) that screens and orients seniors at high, moderate and low risk of functional decline to appropriate post-ED follow-ups. The latter include effective community-based mobility interventions available across all Canadian communities. An ongoing pilot study (n=120) in two EDs is showing the feasibility and effectiveness (functional decline prevention) of interventions and patient satisfaction. The investigators thus propose to implement the CEDeComS intervention, which involves the CETI-CDR combined with rapid linkage to community mobility programs directly from EDs.
The Main Objectives of this study are to 1) evaluate the effectiveness of the CEDeComS compared to usual care, on improving seniors' health outcomes, 2) determine the cost-effectiveness of the intervention.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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intervention
EDs 1 to 7 will then be randomly phased-in INT every 3 months.
Exercise program
Exercise program in communities / Exercise program at home
control
During the first 6 months and throughout CTRL time
No interventions assigned to this group
Interventions
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Exercise program
Exercise program in communities / Exercise program at home
Eligibility Criteria
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Inclusion Criteria
* Injury happened in the 14 days prior to ED visit
* 65 years old and over
* Discharge from ED within 48 hours
* Independant in basic Activities of Daily Living (ADL)
Exclusion Criteria
* Major surgery related to the trauma
* Not independant in ADL
* Living in a long-term care home
* Important cognitive impairment
* Not speaking French or English
* Unable to consent
* No trauma
65 Years
120 Years
ALL
Yes
Sponsors
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Université du Québec a Montréal
OTHER
University of Toronto
OTHER
Laval University
OTHER
Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal
OTHER
Ottawa Hospital Research Institute
OTHER
Centre de recherche du Centre hospitalier universitaire de Sherbrooke
OTHER
Alberta Health Services, Calgary
OTHER
Sunnybrook Research Institute
OTHER
Washington University School of Medicine
OTHER
McMaster University
OTHER
Mount Sinai Hospital, Canada
OTHER
The Ottawa Hospital
OTHER
Université de Montréal
OTHER
University of Ottawa
OTHER
Canadian Institutes of Health Research (CIHR)
OTHER_GOV
CHU de Quebec-Universite Laval
OTHER
Responsible Party
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Marie-Josée Sirois
Ph.D Independent Researcher - Mid Career Investigator
Principal Investigators
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Marcel ME Emond, Md, Ph.D
Role: PRINCIPAL_INVESTIGATOR
Centre de recherche du CHU de Québec
Locations
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Alberta Health Services
Calgary, Alberta, Canada
Alberta Health Services
Edmonton, Alberta, Canada
Sunnybrook Health Science Center
Toronto, Ontario, Canada
Ottawa Hospital Research Institute
Ottawa, Ontaro, Canada
Hôpital Sacré-Coeur
Montreal, Quebec, Canada
CHU-Québec
Québec, Quebec, Canada
Countries
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Central Contacts
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Facility Contacts
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References
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Sirois MJ, Blais J, Aubertin-Leheudre M, Carmichael PH, Fruteau de Laclos L, Desjardins A, Daoust R, Eagles D, Lee J, Perry JJ, Salbach NM, Emond M. Effectiveness of Exercise in Older Adults Discharged From the ER After Minor Injuries: The CEDeComS Stepped-Wedge Trial. J Am Geriatr Soc. 2025 Oct 20. doi: 10.1111/jgs.70166. Online ahead of print.
Sirois MJ, Carmichael PH, Daoust R, Eagles D, Griffith L, Lang E, Lee J, Perry JJ, Veillette N, Emond M; Canadian Emergency Team Initiative on Mobility in Aging. Functional Decline After Nonhospitalized Injuries in Older Patients: Results From the Canadian Emergency Team Initiative Cohort in Elders. Ann Emerg Med. 2022 Aug;80(2):154-164. doi: 10.1016/j.annemergmed.2022.01.041. Epub 2022 Mar 16.
Other Identifiers
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364485
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
MP-20-2017-3235
Identifier Type: -
Identifier Source: org_study_id
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