Emergency Room Evaluation and Recommendations for Older Users of Emergency Departments

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

ACTIVE_NOT_RECRUITING

Total Enrollment

4724 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-07-23

Study Completion Date

2024-09-01

Brief Summary

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

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Detailed Description

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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.

Conditions

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Elderly Care Length of Hospital Stay Multimorbidity

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Observational

At Emergency nurses will carry out a test called: Emergency Room Evaluation and Recommendation which contents the following statements:

1. Being 85 years older and over (Yes/No)
2. Male (Yes/No)
3. Home services (Yes/No)
4. Taking 5 different medication daily (Yes/No)
5. Use of walking aid (Yes/No)
6. Disoriented (Yes/No)

No interventions assigned to this group