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| ID | Type | Description | Link |
|---|---|---|---|
| NIH 5K23AG028942 |
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| Name | Class |
|---|---|
| National Institute on Aging (NIA) | NIH |
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Many older adults have undetected health problems and lack basic prevention measures. Failure to identify and treat these conditions can lead to unnecessary morbidity and mortality and a decreased quality of life. Traditional screening and intervention programs, usually based in primary care providers' offices, have been insufficient, particularly in medically underserved populations. Alternate sites for screening and intervention have begun to receive attention and may hold promise.
The emergency department (ED) is the entry point for access to medical and social services for many patients and has the potential to serve as a site to identify older adults with unmet needs. However, we do not know the prevalence of depression and cognitive impairment and how they differ by mode of arrival of the patient to the ED. Second, a question remains as to the validity of screening patients during an acute illness. Upon completion, this study will describe the epidemiology of the population of older adults presenting to the ED.
Many older adults have undetected health problems and lack basic prevention measures. Failure to identify and treat these conditions can lead to unnecessary morbidity and mortality and a decreased quality of life. Traditional screening and intervention programs, usually based in primary care providers' offices, have been insufficient, particularly in medically underserved populations. Alternate sites for screening and intervention have begun to receive attention and may hold promise.
The emergency department (ED) is the entry point for access to medical and social services for many patients and has the potential to serve as a site to identify older adults with unmet needs. However, we do not know the prevalence of depression and cognitive impairment and how they differ by mode of arrival of the patient to the ED. Second, a question remains as to the validity of screening patients during an acute illness. This study aims to:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Presenting to the ED | Patients who present to the ED |
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| Measure | Description | Time Frame |
|---|---|---|
| Participants With Depression by Patient Health Questionnaire - 9 | Number of participants with depression as measured by the Patient Health Questionnaire - 9, with a score of greater than or equal to 10. | 2 hours |
| Participants With Cognitive Impairment by Six Item Screener | Number of participants with cogintiive impairment as measured by the Six Item Screener, with greater than 2 questions incorrect | 2 hours |
| Participants With Anxiety by Generalized Anxiety Disorder - 7 | Participants with anxiety as measured by the Generalized Anxiety Disorder - 7, with a score greater than or equal to 10. | 2 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Depression and Cognitive Impairment at 2 Weeks | For the individuals who are able to be contacted in 2 weeks, how many still test positive for depression and cognitive impairment. | 2 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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All older adults arriving at participating hospital emergency departments to obtain emergency care.
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| Name | Affiliation | Role |
|---|---|---|
| Manish N. Shah, MD MPH | University of Rochester | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Rochester | Rochester | New York | 14646 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Presenting to the ED | Patients who present to the ED |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Presenting to the ED | Patients who present to the ED |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Participants With Depression by Patient Health Questionnaire - 9 | Number of participants with depression as measured by the Patient Health Questionnaire - 9, with a score of greater than or equal to 10. | Posted | Number | participants | 2 hours |
|
|
While enrolled in the study, 2 weeks
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Presenting to the ED | Patients who present to the ED |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Manish N. Shah, MD MPH | University of Rochester | 585-275-1198 | manish.shah@rochester.edu |
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| ID | Term |
|---|---|
| D003863 | Depression |
| D001008 | Anxiety Disorders |
| D060825 | Cognitive Dysfunction |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D001523 | Mental Disorders |
| D003072 | Cognition Disorders |
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| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Anxiety (>=10 on GAD7) | The number of participants with Generalized Anxiety Disorder - 7 scores greater than or equal to 10 (more anxiety). | Number | participants |
|
| Depression (>=10 on PHQ9) | Number of participants with the Patient Health Questionnaire - 9 (Depression) >= 10 (more depression). | Number | participants |
|
| Cognitive Impairment (>2 on SIS) | Number of participants with Six Item Screener testing with greater than 2 errors (more errors, worse cognition). | Number | participants |
|
|
| Primary | Participants With Cognitive Impairment by Six Item Screener | Number of participants with cogintiive impairment as measured by the Six Item Screener, with greater than 2 questions incorrect | Posted | Number | participants | 2 hours |
|
|
|
| Primary | Participants With Anxiety by Generalized Anxiety Disorder - 7 | Participants with anxiety as measured by the Generalized Anxiety Disorder - 7, with a score greater than or equal to 10. | Posted | Number | participants | 2 hours |
|
|
|
| Secondary | Depression and Cognitive Impairment at 2 Weeks | For the individuals who are able to be contacted in 2 weeks, how many still test positive for depression and cognitive impairment. | Posted | Number | 95% Confidence Interval | participants | 2 weeks |
|
|
|
| 0 |
| 1,206 |
| 0 |
| 1,206 |
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| D019965 |
| Neurocognitive Disorders |