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| ID | Type | Description | Link |
|---|---|---|---|
| HUS1171/2018 | Other Identifier | Helsinki University Hospital |
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| Name | Class |
|---|---|
| City of Espoo | UNKNOWN |
| University of Helsinki | OTHER |
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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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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Emergency Care + CGA | Active Comparator | 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. |
|
| Standard Emergency Care | No Intervention | Standard Care is provided for the acute condition as usual by the ED personnel. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CGA | Other | Comprehensive Geriatric Assessment |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cumulated Length of Stay | Cumulated stay (days) in hospital wards (university hospital and community hospital) including all admissions during the follow-up. | Day 365 |
| Measure | Description | Time Frame |
|---|---|---|
| Admissions | Number of admissions to the hospital wards (university hospital and community hospital) during the follow-up. | Day 30, Day 365 |
| Admission rate | Proportion of admitted patients (university hospital or community hospital ward) from the index ED-visits. |
| Measure | Description | Time Frame |
|---|---|---|
| Length-of-Stay in the ED | Length-of-Stay (h) of the index-visit in the ED | Day 0 |
| Length-of-Stay in the ward | Length-of-Stay (d) in the hospital ward of admitted patients from the index-visit in the ED |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Veli-Pekka Harjola | Department of Emergency Medicine and Services, Helsinki University Hospital | Study Director |
| Janne Alakare, MD | Department of Emergency Medicine and Services, Helsinki University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Helsinki University Hospital, Jorvi ED | Espoo | Uusimaa | 02740 | Finland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34215193 | Result | Alakare J, Kemp K, Strandberg T, Castren M, Jakovljevic D, Tolonen J, Harjola VP. Systematic geriatric assessment for older patients with frailty in the emergency department: a randomised controlled trial. BMC Geriatr. 2021 Jul 2;21(1):408. doi: 10.1186/s12877-021-02351-2. |
| Label | URL |
|---|---|
| Alakare, J., Kemp, K., Strandberg, T. et al. Systematic geriatric assessment for older patients with frailty in the emergency department: a randomised controlled trial. BMC Geriatr 21, 408 (2021). https://doi.org/10.1186/s12877-021-02351-2 | View source |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jan 27, 2022 | |
| Unrelease | Jan 29, 2022 | |
| Release | Jan 29, 2022 | |
| Reset | Apr 1, 2022 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jan 27, 2022 | Jan 29, 2022 | |||
| Jan 29, 2022 |
Randomized Controlled Trial
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| Day 0 |
| Readmissions in the ED | Re-visits to the ED after the index-visit. | Hour 72, Day 30, Day 365 |
| Living at home | Proportion of the patients living at home. | Day 365 |
| Quality of Life | 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. | Day 0, Day 365 |
| Day 365 |
| Mortality | Mortality during the one-year follow-up. | Day 365 |
| Falls | Number of falls which result in new ED visit during the one-year follow-up | Day 365 |
| Apr 1, 2022 |