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NCT Number: NCT03751319

Geriatric Assessment and Intervention for Older Patients With Frailty in the Emergency Department

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.

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Key information

Conditions

Frail Elderly Syndrome Fall Hospital Readmission Length of Stay Patient Admission Quality of Life

Age range

75 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Helsinki University Hospital, Jorvi ED

Espoo, Uusimaa, 02740, Finland

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

CGA

Other

Comprehensive Geriatric Assessment

Primary outcomes

  1. Cumulated Length of Stay

    Time frame: Day 365

    Cumulated stay (days) in hospital wards (university hospital and community hospital) including all admissions during the follow-up.

Secondary outcomes

  1. Admissions

    Time frame: Day 30, Day 365

    Number of admissions to the hospital wards (university hospital and community hospital) during the follow-up.

  2. Admission rate

    Time frame: Day 0

    Proportion of admitted patients (university hospital or community hospital ward) from the index ED-visits.

  3. Readmissions in the ED

    Time frame: Hour 72, Day 30, Day 365

    Re-visits to the ED after the index-visit.

  4. Living at home

    Time frame: Day 365

    Proportion of the patients living at home.

  5. Quality of Life

    Time frame: 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 outcomes

  1. Length-of-Stay in the ED

    Time frame: Day 0

    Length-of-Stay (h) of the index-visit in the ED

  2. Length-of-Stay in the ward

    Time frame: Day 365

    Length-of-Stay (d) in the hospital ward of admitted patients from the index-visit in the ED

  3. Mortality

    Time frame: Day 365

    Mortality during the one-year follow-up.

  4. Falls

    Time frame: Day 365

    Number of falls which result in new ED visit during the one-year follow-up

Sponsors and collaborators

Lead sponsor

Helsinki University Central Hospital

Other

Collaborators

  • City of Espoo
  • University of Helsinki

Registry information

Official study title

Geriatric Assessment and Intervention for Older Patients With Frailty in the Emergency Department. Randomized Controlled Trial

Acronym: GAOPS

Important dates

Study start
2018
Primary completion
2020
Study completion
2021
First posted
Nov 23, 2018
Registry last updated
Aug 11, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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