Length of StayNCT07558031
The Impact of a Geriatric Multidisciplinary Team in the Emergency Department
An observational study of Length of Stay and Admission to GIM, run by St. Mary's Research Center, Canada at 1 site in Canada.
Trial summary
The care of geriatric patients frequently involves members of the multidisciplinary care team, including both primary medical staff and allied health professionals. Often, members of the multidisciplinary care team are mobilized after geriatric patients have presented to the emergency department and have been seen by… Read more about this study
- Who is it for?
- Ages 65 years and older
- Conditions the study is for
- Length of Stay, Admission to GIM, Emergency Geriatric Care
- How many people
- 1,012 participants
- Where
- 1 siteCanada
- Study dates
- 1 Jan 2023to 1 Jul 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 65 years and older
- All sexes
- No healthy volunteers
- Older adult
Study population: The study population is comprised of patients 65 years or older who present to the emergency department at St. Mary's hospital in Montreal and meet the inclusion criteria as described above.
Who may be able to join
- evaluation by at least one allied health professional, including a geriatric nurse, geriatrician, physiotherapist, occupational therapist, or social worker;
- age 65 years or older; and
- availability of the medical record in the hospital's electronic medical record (EMR) system.
Who cannot join
- data not available in the EMR.
- In the post-implementation period, patients were flagged for Geri-MDT assessment if they met any of the following criteria:
- age over 85 years,
- a score of ≥4 on the Program of Research to Integrate the Services for the Maintenance of Autonomy 7 (PRISMA-7) frailty screening tool, or
- an ED presentation related to a geriatric syndrome (e.g., fall, delirium, dementia, urinary incontinence, functional decline, or elder abuse).
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Integration of a Geriatric Multidisciplinary Team (Geri MDT) in the Emergency Department
The care of geriatric patients frequently involves members of the multidisciplinary care team, including both primary medical staff and allied health professionals. Often, members of the multidisciplinary care team are mobilized after geriatric patients have presented to the emergency department and have been seen by a doctor. Mobilizing these resources sequentially in inefficient and can lead to delays in geriatric patients receiving holistic care early following their presentation to the emergency department. The goal of this observational study is to assess the impact of having a geriatric-focused multidisciplinary team (Geri-MDT) dedicated to the emergency department that can be mobilized easily and in parallel at the time of presentation. The main questions we hope to answer in this study are:
- Does the Geri-MDT increase care efficiency by reducing the amount of time patients spend in the ED?
- Does the Geri-MDT decrease the proportion of patients that are ultimately admitted to the hospital?
- When patients are admitted, does the Geri-MDT reduce the length of stay in hospital?
Read the detailed description
Older adults represent a growing proportion of the population and frequently present to hospitals with complex medical, cognitive, functional, and psychosocial needs that require interdisciplinary management. They are also at heightened risk of functional decline when accessing health services, with delays in care coordination contributing to unnecessary hospitalizations and hospitalization-associated disability. Improving outcomes for this population requires proactive, collaborative mobilization of multidisciplinary teams at the time of presentation, rather than reactive or fragmented responses. To address this need, we established a Geriatric Multidisciplinary Team (Geri-MDT) dedicated to the emergency department (ED). The Geri-MDT includes a geriatric nurse, physiotherapist, occupational therapist, social worker, and geriatrician, who together provide early triage and coordinated care for older adults presenting to the ED. We hypothesized that early, well-coordinated involvement of this team would reduce ED length of stay, decrease unnecessary admissions, and shorten inpatient admissions when required.
- Keywords
- emergency department, multidisciplinary team, early intervention, hospital-associated disability
- Medical subject headings
- Emergencies
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 |
|---|---|---|
| Pre-implementation | Standard of care before the implementation of the Geri-MDT | |
| Post-implementation | After the implementation of the Geri-MDT |
What is being measured
The primary outcome is the main question the study is designed to answer.
Admission rate
The proportion of geriatric patients that present to the emergency department that are admitted as inpatient to the hospital.
Measured: From enrolment to the end of the study period, up to 1 year.
Time in emergency department
The length of time, in hours, Geriatric patients spend in the emergency department.
Measured: From enrolment to the end of the study period, up to 1 year.
Length of hospitalization
The length of time, in days, that patients spend in the hospital if admitted.
Measured: From enrolment to the end of the study period, up to 1 year.
Return to emergency department
The rate of patients returning to the emergency department following discharge.
Measured: Quantified as either representing to the emergency department within 7- or 30-days following discharge.
Secondary outcomes (1)
Mobilization of geriatric multidisciplinary team members
The number and proportion of geriatric patients presenting to the emergency department who are seen by one or more members of the multidisciplinary care team.
Measured: From enrolment to the end of the study period, up to 1 year.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Apr 2026
- Study start1 Jan 2023
- Primary completion1 Jul 2024
- Study completion1 Jul 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Length of StayStudies 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
- Cohort
- Time perspective
- Retrospective
- Enrolment
- 1,012 participants (actual)
Sponsor and investigators
- Lead sponsor
- St. Mary's Research Center, Canada
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Julia Chabot, St. Mary's Research Center, Canada
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07558031
- Sponsor's protocol ID
- 2025-1139
- Status last verified
- Apr 2026
- First submitted
- 17 Dec 2025
- Last updated
- 30 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 30 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Integration of a Geriatric Multidisciplinary Team (Geri MDT) in the Emergency Department
- ClinicalTrials.gov ID
- NCT07558031
- Acronym / sponsor ID
- 2025-1139
- Keywords
- emergency department, multidisciplinary team, early intervention, hospital-associated disability
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 1,012 participants (actual)
- Lead sponsor
- St. Mary's Research Center, CanadaUniversity, hospital or other
- Study start
- 1 Jan 2023 (actual)
- Primary completion
- 1 Jul 2024 (actual)
- Study completion
- 1 Jul 2024 (actual)
- First posted
- 30 Apr 2026 (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 care of geriatric patients frequently involves members of the multidisciplinary care team, including both primary medical staff and allied health professionals. Often, members of the multidisciplinary care team are mobilized after geriatric patients have presented to the emergency department and have been seen by a doctor. Mobilizing these resources sequentially in inefficient and can lead to delays in geriatric patients receiving holistic care early following their presentation to the emergency department. The goal of this observational study is to assess the impact of having a geriatric-focused multidisciplinary team (Geri-MDT) dedicated to the emergency department that can be mobilized easily and in parallel at the time of presentation. The main questions we hope to answer in this study are:
- Does the Geri-MDT increase care efficiency by reducing the amount of time patients spend in the ED?
- Does the Geri-MDT decrease the proportion of patients that are ultimately admitted to the hospital?
- When patients are admitted, does the Geri-MDT reduce the length of stay in hospital?
Detailed description
Older adults represent a growing proportion of the population and frequently present to hospitals with complex medical, cognitive, functional, and psychosocial needs that require interdisciplinary management. They are also at heightened risk of functional decline when accessing health services, with delays in care coordination contributing to unnecessary hospitalizations and hospitalization-associated disability. Improving outcomes for this population requires proactive, collaborative mobilization of multidisciplinary teams at the time of presentation, rather than reactive or fragmented responses. To address this need, we established a Geriatric Multidisciplinary Team (Geri-MDT) dedicated to the emergency department (ED). The Geri-MDT includes a geriatric nurse, physiotherapist, occupational therapist, social worker, and geriatrician, who together provide early triage and coordinated care for older adults presenting to the ED. We hypothesized that early, well-coordinated involvement of this team would reduce ED length of stay, decrease unnecessary admissions, and shorten inpatient admissions when required.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Pre-implementation | – | –Standard of care before the implementation of the Geri-MDT |
| Post-implementation | – | –After the implementation of the Geri-MDT |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
- Study population
- The study population is comprised of patients 65 years or older who present to the emergency department at St. Mary's hospital in Montreal and meet the inclusion criteria as described above.
Key inclusion criteria (3 listed)
- evaluation by at least one allied health professional, including a geriatric nurse, geriatrician, physiotherapist, occupational therapist, or social worker;
- age 65 years or older; and
- availability of the medical record in the hospital's electronic medical record (EMR) system.
Key exclusion criteria (5 listed)
- data not available in the EMR.
- In the post-implementation period, patients were flagged for Geri-MDT assessment if they met any of the following criteria:
- age over 85 years,
- a score of ≥4 on the Program of Research to Integrate the Services for the Maintenance of Autonomy 7 (PRISMA-7) frailty screening tool, or
- an ED presentation related to a geriatric syndrome (e.g., fall, delirium, dementia, urinary incontinence, functional decline, or elder abuse).
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
Admission rate
Time frame: From enrolment to the end of the study period, up to 1 year.
The proportion of geriatric patients that present to the emergency department that are admitted as inpatient to the hospital.
Time in emergency department
Time frame: From enrolment to the end of the study period, up to 1 year.
The length of time, in hours, Geriatric patients spend in the emergency department.
Length of hospitalization
Time frame: From enrolment to the end of the study period, up to 1 year.
The length of time, in days, that patients spend in the hospital if admitted.
Return to emergency department
Time frame: Quantified as either representing to the emergency department within 7- or 30-days following discharge.
The rate of patients returning to the emergency department following discharge.
1 secondary outcome
Mobilization of geriatric multidisciplinary team members
Time frame: From enrolment to the end of the study period, up to 1 year.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Apr 2026.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
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 Length of Stay and Admission to GIM, run by St. Mary's Research Center, Canada 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 3 inclusion and 5 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: finished, as of the sponsor's last update on 30 Apr 2026. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Admission rate (time frame: From enrolment to the end of the study period, up to 1 year.). The study lists 4 primary outcomes in all. 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 30 Apr 2026.