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

Helsinki University Central Hospital (HUCH)

Status: Completed

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

Treatments: Other: CGA

Study type: Interventional

Funder types: Other

Identifiers

NCT03751319

HUS1171/2018 (Other Identifier)

TYH2018304

Details and patient eligibility

About

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.

Enrollment: 432 patients

Sex: All

Ages: 75+ years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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432 participants in 2 patient groups

Standard Emergency Care + CGA

Active Comparator group

Description:

Standard Care is provided for the acute condition as usual by the ED personnel. Besides the standard care provided by ED personnel, patients are systemically screened and assessed by physician trained for geriatrics or geriatric emergency medicine. Geriatric multi-discipline treatment plan and recommendations are given if suitable for the case.

Treatment:

Other: CGA

Standard Emergency Care

No Intervention group

Description:

Standard Care is provided for the acute condition as usual by the ED personnel.