Elderly CareNCT04022551
Emergency Room Evaluation and Recommendations for Older Users of Emergency Departments
An observational study of Elderly Care and Length of Hospital Stay, run by Jewish General Hospital at 1 site in Canada.
Trial summary
The study evaluates if the Emergency Room Evaluation and Recommendation Tool (ER2) reduces the hospital admission rate and the length of stay in Emergency. Read more about this study
- Who is it for?
- Ages 75 years and older
- Conditions the study is for
- Elderly Care, Length of Hospital Stay, Multimorbidity
- How many people
- 4,724 participants
- Where
- 1 siteCanada
- Study dates
- 23 Jul 2019to 1 Sep 2024
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 75 years and older
- All sexes
- Older adult
Study population: It will be enrolled participants who are 75 years and over, and who will be brought at Emergency on medical stretcher. At Emergency, nurses will carry out a test called: Emergency Room Evaluation and Recommendation.
Who may be able to join
- Being 75 years old and over
- Being brought at Emergency on medical stretcher
Who cannot join
- Being less than 75 years old
- Never come at Emergency
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Emergency Room Evaluation and Recommendations for Older Users of Emergency Departments: a Cohort Study Database on the Effects of ER2 Recommendations on Length of Stay and Hospital Admission
The study evaluates if the Emergency Room Evaluation and Recommendation Tool (ER2) reduces the hospital admission rate and the length of stay in Emergency.
Read the detailed description
Regardless of the reason for ED visit and its care plan, there are simple interventions, which may be continued to prevent short-term ED adverse outcomes. Delirium, motor deconditioning, adverse drug reactions due to polypharmacy, and inappropriate home support are the main conditions to target when taking care of older ER users.
Evidence based medicine showed that simple and early intervention in the process of care may prevent delirium (e.g., hydration, avoid restraint, mobilize and satisfy basic needs, time and place reorientation) and motor deconditioning (e.g., encourage mobility, up to chair at meal time during day light hours, provide appropriate walking aid) in older patients. The medication reconciliation is also an efficient intervention for the prevention of adverse drug reactions. Furthermore, an early assessment of home support is a crucial step to adjust home services for an early discharge to home.
- Conditions
- Elderly Care, Length of Hospital Stay, Multimorbidity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Observational | At Emergency nurses will carry out a test called: Emergency Room Evaluation and Recommendation which contents the following statements: 1. Being 85 years older and over (Yes/No) 2. Male (Yes/No) 3. Home services (Yes/No) 4. Taking 5 different medication daily (Yes/No) 5. Use of walking aid (Yes/No) 6. Disoriented (Yes/No) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Hospital admission rate by age
The recommendation of the Emergency Room Evaluation Tool will be used to reduce the hospital admission rate in older at Emergency.
Measured: Around 10 months
Secondary outcomes (1)
Length of stay at Emergency
The recommendation of the Emergency Room Evaluation Tool will be used to reduce the length of stay at Emergency.
Measured: Around 10 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Jul 2019
- Study start23 Jul 2019
- Primary completion1 Feb 2022
- Study completion1 Sep 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Elderly CareStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Prospective
- Enrolment
- 4,724 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Jewish General Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Olivier Beauchet, Jewish General Hospital
- Investigators
- Olivier Beauchet, MD, Principal investigator, Jewish General Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04022551
- Sponsor's protocol ID
- 2020-1851
- Status last verified
- Feb 2024
- First submitted
- 15 Jul 2019
- Last updated
- 23 Feb 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Feb 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Emergency Room Evaluation and Recommendations for Older Users of Emergency Departments: a Cohort Study Database on the Effects of ER2 Recommendations on Length of Stay and Hospital Admission
- ClinicalTrials.gov ID
- NCT04022551
- Acronym / sponsor ID
- 2020-1851
- Conditions
- Elderly Care, Length of Hospital Stay, Multimorbidity
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 4,724 participants (estimated)
- Lead sponsor
- Jewish General HospitalUniversity, hospital or other
- Study start
- 23 Jul 2019 (actual)
- Primary completion
- 1 Feb 2022 (actual)
- Study completion
- 1 Sep 2024 (estimated)
- First posted
- 17 Jul 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study evaluates if the Emergency Room Evaluation and Recommendation Tool (ER2) reduces the hospital admission rate and the length of stay in Emergency.
Detailed description
Regardless of the reason for ED visit and its care plan, there are simple interventions, which may be continued to prevent short-term ED adverse outcomes. Delirium, motor deconditioning, adverse drug reactions due to polypharmacy, and inappropriate home support are the main conditions to target when taking care of older ER users.
Evidence based medicine showed that simple and early intervention in the process of care may prevent delirium (e.g., hydration, avoid restraint, mobilize and satisfy basic needs, time and place reorientation) and motor deconditioning (e.g., encourage mobility, up to chair at meal time during day light hours, provide appropriate walking aid) in older patients. The medication reconciliation is also an efficient intervention for the prevention of adverse drug reactions. Furthermore, an early assessment of home support is a crucial step to adjust home services for an early discharge to home.
Study design
- Observational model
- Other
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Observational | – | –At Emergency nurses will carry out a test called: Emergency Room Evaluation and Recommendation which contents the following statements: 1. Being 85 years older and over (Yes/No) 2. Male (Yes/No) 3. Home services (Yes/No) 4. Taking 5 different medication daily (Yes/No) 5. Use of walking aid (Yes/No) 6. Disoriented (Yes/No) |
Who may qualify
- Ages
- 75 years and older
- Sex
- All
- Age groups
- Older adult
- Study population
- It will be enrolled participants who are 75 years and over, and who will be brought at Emergency on medical stretcher. At Emergency, nurses will carry out a test called: Emergency Room Evaluation and Recommendation.
Key inclusion criteria (2 listed)
- Being 75 years old and over
- Being brought at Emergency on medical stretcher
Key exclusion criteria (2 listed)
- Being less than 75 years old
- Never come at Emergency
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Hospital admission rate by age
Time frame: Around 10 months
The recommendation of the Emergency Room Evaluation Tool will be used to reduce the hospital admission rate in older at Emergency.
1 secondary outcome
Length of stay at Emergency
Time frame: Around 10 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Feb 2024.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Olivier Beauchet, MD principal investigator
Jewish General Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Elderly Care and Length of Hospital Stay, run by Jewish General Hospital at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 23 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Hospital admission rate by age (time frame: Around 10 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Feb 2024.