Nursing intervention for older patients who are discharged home from Emergency Department

Nursing intervention for older patients who are discharged home from Emergency Department: A randomised controlled trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN08788893

Enrollment

300

Registered

2010-02-17

Start date

2009-02-16

Completion date

Unknown

Last updated

2015-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Geriatric patients

Interventions

Geriatric patients admitted to the Emergency Department are detected using ISAR 1 screening tool. After randomisation and at discharge and one and six months after the geriatric intervention nurse doe

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Patients 70 years and older scoring more than 2 points (out of 6) when screened with Identification of Seniors at Risk 1 (ISAR 1) screening tool (McCusker 1998) 2. Discharged home from Medical Emergency Department and residents of Amager, Copenhagen 3. Able to decide on informed consent 4. Able to communicate in Danish

Exclusion criteria

Exclusion criteria: 1. Patients admitted to Medical Emergency Department from nursing home 2. Patients already included who are readmitted 3. Spouses to already included patients 4. Patients who do not wish to participate

Design outcomes

Primary

Measure	Time frame
1. Readmission to Emergency Department within one and six months, data collected from the Hospitals administrative database. 2. Admission to nursing home within one and six months, data collected from the Hospitals administrative database. 3. Death within one or six months, data collected from the Hospital administrative database.	—

Secondary

Measure	Time frame
1. Physical functional status at baseline, one, and six months, measured by 1.1. Chairstand test, total number of rise from a chair in 30 seconds (Jones CJ, Rikli RE, Beam WC, 1999) 1.2.Handgrip-strength using a Jamar dynamometer (Bohannon RW, Schaubert KL 2005) 1.3. Avlund?s Mobility-Tiredness Scale that counts activities managed without fatigue (Avlund K, Kreiner S, Schultz-Larsen K 1996). 2. Cognitive functional status at baseline, one, and six months, measured by mini-mental status examination that consists of 11 questions, maximum score (best performance)=30 (Folstein MF, Folstein SE, McHugh PR 1975). 3. Mental functional status at baseline, one, and six months, measured by Geriatric Depression Scale (0-1=not depressed,2- 5=risk of depression)(Bull 1988) 4. Health related quality of life at baseline, one, and six months, measured by 12-itim short-form Health Survey (SF 12) (Ware J Jr, Kosinski M, Keller SD 1996). 5. Amount of patient?s unresolved problems, data collected from intervention nurse records. 6. Amount of help at home from the community, data collected from the community health center utilisation database.	—

Measure

Time frame

1. Physical functional status at baseline, one, and six months, measured by 1.1. Chairstand test, total number of rise from a chair in 30 seconds (Jones CJ, Rikli RE, Beam WC, 1999) 1.2.Handgrip-strength using a Jamar dynamometer (Bohannon RW, Schaubert KL 2005) 1.3. Avlund?s Mobility-Tiredness Scale that counts activities managed without fatigue (Avlund K, Kreiner S, Schultz-Larsen K 1996). 2. Cognitive functional status at baseline, one, and six months, measured by mini-mental status examination that consists of 11 questions, maximum score (best performance)=30 (Folstein MF, Folstein SE, McHugh PR 1975). 3. Mental functional status at baseline, one, and six months, measured by Geriatric Depression Scale (0-1=not depressed,2- 5=risk of depression)(Bull 1988) 4. Health related quality of life at baseline, one, and six months, measured by 12-itim short-form Health Survey (SF 12) (Ware J Jr, Kosinski M, Keller SD 1996). 5. Amount of patient?s unresolved problems, data collected from intervention nurse records. 6. Amount of help at home from the community, data collected from the community health center utilisation database.

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Countries

Denmark

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026