Emergency Room Evaluation and Recommendations for Older Users of Emergency Departments

Emergency Room Evaluation and Recommendations for Older Users of Emergency Departments: a Cohort Study Database on the Effects of ER2 Recommendations on Length of Stay and Hospital Admission

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04022551

Enrollment

4724

Registered

2019-07-17

Start date

2019-07-23

Completion date

2024-09-01

Last updated

2024-02-23

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

Conditions

Elderly Care, Length of Hospital Stay, Multimorbidity

Brief summary

The study evaluates if the Emergency Room Evaluation and Recommendation Tool (ER2) reduces the hospital admission rate and the length of stay in Emergency.

Detailed description

Regardless of the reason for ED visit and its care plan, there are simple interventions, which may be continued to prevent short-term ED adverse outcomes. Delirium, motor deconditioning, adverse drug reactions due to polypharmacy, and inappropriate home support are the main conditions to target when taking care of older ER users. Evidence based medicine showed that simple and early intervention in the process of care may prevent delirium (e.g., hydration, avoid restraint, mobilize and satisfy basic needs, time and place reorientation) and motor deconditioning (e.g., encourage mobility, up to chair at meal time during day light hours, provide appropriate walking aid) in older patients. The medication reconciliation is also an efficient intervention for the prevention of adverse drug reactions. Furthermore, an early assessment of home support is a crucial step to adjust home services for an early discharge to home.

Interventions

None listed

Study design

Observational model

OTHER

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

75 Years to No maximum

Inclusion criteria

* Being 75 years old and over * Being brought at Emergency on medical stretcher

Exclusion criteria

* Being less than 75 years old * Never come at Emergency

Design outcomes

Primary

Measure	Time frame	Description
Hospital admission rate by age	Around 10 months	The recommendation of the Emergency Room Evaluation Tool will be used to reduce the hospital admission rate in older at Emergency.

Secondary

Measure	Time frame	Description
Length of stay at Emergency	Around 10 months	The recommendation of the Emergency Room Evaluation Tool will be used to reduce the length of stay at Emergency.

Countries

Canada

Outcome results