Care for older persons on the emergency department: does a transitional geriatric care model (URGENT care model) prevent unplanned emergency department readmissions?

URGENT - Unplanned Readmission prevention by Geriatric Emergency Network for Transitional care

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN91449949

Enrollment

1502

Registered

2017-07-28

Start date

2014-12-09

Completion date

Unknown

Last updated

2019-09-02

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

Conditions

Geriatric care models Not Applicable Geriatric care models

Interventions

The URGENT study is a single centre quasi-experimental study (sequential design with two cohorts) where the standard care on the emergency department in the control cohort is compared with the impleme

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Dutch-speaking 2. Community-dwelling patients aged 70 years or older 3. Patients admitted to the emergency department were included if their medical condition allowed being interviewed

Exclusion criteria

Exclusion criteria: Patients, transferred from other wards, other hospitals or care facilities.

Design outcomes

Primary

Measure	Time frame
Unplanned remissions is measured using the patient chart review and telephone calls at 30 and 90 days after hospital discharge	—

Secondary

Measure	Time frame
1. Need for hospitalization during index ED visit is measured using chart review at discharge from the ED 2. Length of index emergency department stay is measured using chart review and is calculated as the time between admission to the ED and discharge from the ED 3. Length of inhospital stay measured using chart review and is calculated as the time between discharge from the ED and discharge from the hospital 4. Mortality within 30 and 90 days after hospital discharge is measured using chart review and telephone calls at 30 and 90 days after hospital discharge 5. Functional decline 30 and 90 days after ED discharge is measured using using telephone calls at 30 and 90 days after ED discharge 6. Higher level of care (at the moment of hospital discharge) is measured using chart review and telephone calls at discharge, 30 and 90 days after discharge	—

Measure

Time frame

1. Need for hospitalization during index ED visit is measured using chart review at discharge from the ED 2. Length of index emergency department stay is measured using chart review and is calculated as the time between admission to the ED and discharge from the ED 3. Length of inhospital stay measured using chart review and is calculated as the time between discharge from the ED and discharge from the hospital 4. Mortality within 30 and 90 days after hospital discharge is measured using chart review and telephone calls at 30 and 90 days after hospital discharge 5. Functional decline 30 and 90 days after ED discharge is measured using using telephone calls at 30 and 90 days after ED discharge 6. Higher level of care (at the moment of hospital discharge) is measured using chart review and telephone calls at discharge, 30 and 90 days after discharge

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Countries

Belgium

Contacts

Public ContactEls Devriendt

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 5, 2026