Evaluation of a screening program for older adults visiting the Emergency Department

Implementation of a screening program for the acutely presenting older patient in the Emergency Department

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON23854

Enrollment

2000

Registered

2018-04-24

Start date

2017-12-01

Completion date

Unknown

Last updated

2024-02-28

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

Conditions

EN: older patients, emergency department, geriatric emergency medicine, functional decline, mortality, cognitive impairment, screening, implementation NL: acuut presenterende oudere patiënt, spoedeisende hulp, functionele achteruitgang, mortaliteit, cognitieve beperkingen, screening, implementatie

Interventions

Implementation of the APOP screening program in routine ED care. The program consists of 4 parts: 1. The APOP-screener to identify individual risk of functional decline and/or mortality in the next

Eligibility

Inclusion criteria

Inclusion criteria: All consecutive ED patients aged 70 years and older. Patients are included 2 months before and 2 months after implementation of the APOP screening program.

Exclusion criteria

Exclusion criteria: -

Design outcomes

Primary

Measure	Time frame
Reach and adherence of implementation. To evaluate reach we will investigate patient centered factors of implementation, i.e. the screening rate, the representativeness of the patients who were reached with screening and how consistently the different parts of the program are achieved. To evaluate adherence we will investigate organisation and staff centered factors of implementation, i.e. ED crowding and staff numbers.	—

Measure

Time frame

Reach and adherence of implementation. To evaluate reach we will investigate patient centered factors of implementation, i.e. the screening rate, the representativeness of the patients who were reached with screening and how consistently the different parts of the program are achieved. To evaluate adherence we will investigate organisation and staff centered factors of implementation, i.e. ED crowding and staff numbers.

—

Secondary

Measure	Time frame
ED length of stay, patient satisfaction, awareness of care providers, hospital admissions, ED revisits, hospital LOS, 90 day mortality.	—

Contacts

Public ContactBlomaard Laura C.

Leiden University Medical Center, department of Geriatrics

l.c.blomaard@lumc.nl071 5266652

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)