Evaluation of the Triage Risk Screening Tool (TRST-U)

Centre Hospitalier Régional Metz-Thionville

Status: Completed

Conditions: Elderly Subject Fragility

Study type: Observational

Funder types: Other

Identifiers

NCT03544957

2018-02Obs-CHRMT

Details and patient eligibility

About

This study tried to describe diagnostic properties of TRST completed by an emergency doctor, for screening process for fragility of elderly subjects admitted at the accident and emergency department.

Full description

A constant increase of emergencies admission of elderly subjects is registered. The current problem is the identification and early screening of these patients upon admission at the accident and emergency department for early tracking in geriatric network. This early assessment could allow a shorter waiting time, a better orientation of patients and a decrease in the number of re-hospitalization.

There are many screening process for fragility tests but there seem to be nonspecifically. The advantage of TRST is its simplicity and speed of filling.

In 2015, Duc et al. have found that TRST may be a screening instrument for elderly subject and is going to require geriatric mobile team (GMT) for evaluation. Unfortunately, the threshold may be too sensitive and GMT solicitation is too high.

Enrollment: 199 patients

Sex: All

Ages: 75+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients who are more than 75 years old
• Admitted to the emergency department for medical or surgical reason
• Admitted from Monday to Friday (8h30 AM- 6h PM)

Exclusion criteria

• Patient with specific care (vital emergency, urgent surgery)
• Patient or his support person opposing the use of data