SOLAR- Frailty Screening and Multidisciplinary Assessment of Older Adults in the Emergency Department

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

229 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-09

Study Completion Date

2023-01-15

Brief Summary

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SOLAR is a randomised control trial exploring the role of Comprehensive Geriatric Assessment (CGA) in older adults who screen positive for frailty based on the Identification of Seniors at Risk (ISAR) tool the the Emergency Department and Acute Medical Assessment Unit of a University Teaching Hospital.

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Detailed Description

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All patients who are over seventy-five will be screened for frailty using the widely used ISAR tool. Those with a score of 2 or above in the ISAR will be randomised. The treatment arm will undergo geriatric medicine team-directed CGA from admission to Emergency Department (ED) or Acute Medical Assessment Unit (AMAU) whereby the non-treatment arm will undergo usual patient care. A dedicated multidisciplinary team of a geriatric medicine trainee, physiotherapist, occupational therapist and medical social worker will carry out the assessment, as well as interventions that arise from that assessment. Primary outcomes will be time from triage to decision to admit or discharge. Secondary Outcomes will be subsequent Emergency Department reattendance, rehospitalisation, functional decline and mortality at 30 days and 180 days. This will be recorded by telephone consultation and electronic records.

Conditions

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Frailty

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomised control trial

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

The outcome assessor will be unaware if the participant was in control or intervention arm

Study Groups

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Control Arm

The control group will obtain usual medical care in the Emergency Department and Acute Medical Assessment Unit

Group Type NO_INTERVENTION

No interventions assigned to this group

SOLAR arm

The SOLAR arm will obtain a comprehensive geriatric assessment which will be provided by a geriatric doctor, physiotherapist, occupational therapist, social worker, pharmacist and specialist nurse.

Group Type EXPERIMENTAL

SOLAR

Intervention Type OTHER

The participants will obtain a multidisciplinary assessment regarding their medical conditions, medication review, cognitive assessment, functional assessment, gait and balance assessment by senior clinicians and a management plan will be implemented.

Interventions

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SOLAR

The participants will obtain a multidisciplinary assessment regarding their medical conditions, medication review, cognitive assessment, functional assessment, gait and balance assessment by senior clinicians and a management plan will be implemented.

Intervention Type OTHER

Other Intervention Names

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Comprehensive Geriatric Assessment

Eligibility Criteria

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Inclusion Criteria

* Older adults aged 75 years or over
* Medically stable as deemed by the treating physician
* A score of 2 or above on the ISAR
* Present with a medical complaint

Exclusion Criteria

* Those under the age of 75 years
* A score of less than 2 on the ISAR
* Acute myocardial infarction, stroke or non-medical problems e.g. surgical or psychiatric issues
* Patients who are medically unstable
* If neither the patient nor carer can communicate in English sufficiently to complete consent or baseline assessment
* Confirmed or highly suspicious of symptoms for COVID 19.

Minimum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No