Fall, Frail Elderly Syndrome, Hospital Readmission, Length of Stay, Patient Admission, Quality of Life
Conditions
Brief summary
Comprehensive Geriatric Assessment (CGA) is an established approach for better detection of frailty-related problems and includes individualized treatment plan with multi-discipline supportive and treating measures for the older frailty patients. However, there is limited evidence of feasibility and efficacy of the CGA when provided in the emergency department setting. In the GAOPS-study the efficacy of the CGA in emergency department setting will be studied by randomized controlled study protocol. We aim to study if the CGA provided in the ED is feasible, safe and efficient method when added with standard emergency care for older frail patients.
Interventions
OTHERCGA
Comprehensive Geriatric Assessment
Sponsors
City of Espoo
University of Helsinki
Helsinki University Central Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Randomized Controlled Trial
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age of minimum 75 years * Clinical Frailty Scale minimum 4 estimated at the arrival to the ED by nurse
Exclusion criteria
* Non-resident of the counties (City of Espoo, Kirkkonummi, Kauniainen) of the hospital district.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cumulated Length of Stay | Day 365 | Cumulated stay (days) in hospital wards (university hospital and community hospital) including all admissions during the follow-up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Admission rate | Day 0 | Proportion of admitted patients (university hospital or community hospital ward) from the index ED-visits. |
| Admissions | Day 30, Day 365 | Number of admissions to the hospital wards (university hospital and community hospital) during the follow-up. |
| Readmissions in the ED | Hour 72, Day 30, Day 365 | Re-visits to the ED after the index-visit. |
| Living at home | Day 365 | Proportion of the patients living at home. |
| Quality of Life | Day 0, Day 365 | Change of the quality of life during one year follow-up using the standardized questionnaire EuroQol EQ-5D-5L. Measured value is the index value defined by the EuroQol group. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Mortality | Day 365 | Mortality during the one-year follow-up. |
| Falls | Day 365 | Number of falls which result in new ED visit during the one-year follow-up |
| Length-of-Stay in the ward | Day 365 | Length-of-Stay (d) in the hospital ward of admitted patients from the index-visit in the ED |
| Length-of-Stay in the ED | Day 0 | Length-of-Stay (h) of the index-visit in the ED |
Countries
Finland
Outcome results
None listed