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| Name | Class |
|---|---|
| City of Espoo | UNKNOWN |
| University of Helsinki | OTHER |
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Emergency Department Triage Systems have not been shown to sufficiently recognize frail elderly patients in need of urgent assessment and care. In this prospective, observational study the performance of the 3-level triage system and the National Early Warning Score (NEWS) 2 are assessed (separately and combined) for predicting adverse outcomes in older frailty patients visiting in the ED. Observational data for this study is gathered as part of GAOPS - main study (ClinicalTrials.gov Identifier: NCT03751319).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Older Adult Patients | ED patients age of ≥ 75 who have nurse assessed Clinical Frailty Scale ≥ 4. |
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| Measure | Description | Time Frame |
|---|---|---|
| Mortality | Mortality during the 30 day follow-up | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital admission | Admission to hospital from the Emergency Department | Day 0 |
| ICU/HDU admission | Admission to the Intensive Care Unit or High Dependency Unit from the Emergency Department |
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Inclusion Criteria:
Exclusion Criteria:
• Non-resident of the counties (City of Espoo, Kirkkonummi, Kauniainen) of the hospital district.
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Residents of aforementioned counties, aged over 75 years, who attend the Emergency department and have clinical frailty scale minimum 4.
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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 Central Hospital, Jorvi | Espoo | 02740 | Finland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33115446 | Result | Kemp K, Alakare J, Harjola VP, Strandberg T, Tolonen J, Lehtonen L, Castren M. National Early Warning Score 2 (NEWS2) and 3-level triage scale as risk predictors in frail older adults in the emergency department. BMC Emerg Med. 2020 Oct 28;20(1):83. doi: 10.1186/s12873-020-00379-y. |
| Label | URL |
|---|---|
| Full text | View source |
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| ID | Term |
|---|---|
| D000073496 | Frailty |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Day 0 |
| Readmission in the ED | Re-visits to the ED after the index-visit | Hour 72, Day 30 |