Triage Assessment and NEWS-score as Risk Predictor in Older Frailty Adults in the ED

3-level Triage Assessment and National Early Warning Score as Predictor for Mortality, Hospital Admission and ED Readmission for Older Frailty Patients in the ED

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03783234

Enrollment

1711

Registered

2018-12-20

Start date

2018-12-11

Completion date

2020-10-28

Last updated

2022-02-01

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

Conditions

Aged, Frailty, Triage

Keywords

Emergency triage

Brief summary

Emergency Department Triage Systems have not been shown to sufficiently recognize frail elderly patients in need of urgent assessment and care. In this prospective, observational study the performance of the 3-level triage system and the National Early Warning Score (NEWS) 2 are assessed (separately and combined) for predicting adverse outcomes in older frailty patients visiting in the ED. Observational data for this study is gathered as part of GAOPS - main study (ClinicalTrials.gov Identifier: NCT03751319).

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

75 Years to No maximum

Inclusion criteria

* 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
Mortality	30 days	Mortality during the 30 day follow-up

Secondary

Measure	Time frame	Description
Hospital admission	Day 0	Admission to hospital from the Emergency Department
ICU/HDU admission	Day 0	Admission to the Intensive Care Unit or High Dependency Unit from the Emergency Department
Readmission in the ED	Hour 72, Day 30	Re-visits to the ED after the index-visit

Countries

Finland

Outcome results