Ignite Creation Date:
2024-05-06 @ 4:06 PM
Last Modification Date:
2024-10-26 @ 2:04 PM
Study NCT ID:
NCT04877028
Status:
COMPLETED
Last Update Posted:
2022-06-23
First Post:
2021-05-01
Brief Title:
Frailty Screening in the Swedish Emergency Department Setting
Sponsor:
University Hospital Linkoeping
Organization:
University Hospital Linkoeping
Study Overview
Official Title:
Frailty Screening in the Swedish Emergency Department Setting
Status:
COMPLETED
Status Verified Date:
2022-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This prospective observational study will investigate the correlation of frailty in relation to serious outcomes Serious outcomes are defined as mortality within 30 days admission to hospital length of stay in the Emergency DepartmentED in hospital length of stay and revisits to the ED
The exposure frailty will be assessed according to Clinical Frailty Scale ED patients 65 years of age in a Swedish regional health care system Region Östergötland Sweden comprising three EDs in Linköping Norrköping and Motala The outcomes will be compared according to the degree of frailty and censored over 7 30 and 90 days respectively
The exposure frailty will be assessed according to Clinical Frailty Scale ED patients 65 years of age in a Swedish regional health care system Region Östergötland Sweden comprising three EDs in Linköping Norrköping and Motala The outcomes will be compared according to the degree of frailty and censored over 7 30 and 90 days respectively
Detailed Description:
Frailty is a common clinical syndrome in older adults that carries an increased risk for poor health outcomes including falls incident disability hospitalization and mortality
The clinical frailty scale CFS is a measure of frailty based on clinical judgement in a 9 level scale categorized as vulnerable 1-4 mildly frail 5 moderatly frail 6 and severely and very severely frail 7-8 A validation study of the CFS in community-dwelling older people showed that it performed better than measures of cognition function or comorbidity in assessing risk for death In a prospective observational study including consecutive ED patients aged 65 years or older The Hosmer-Lemeshow test indicated a good agreement between predicted probability and observed frequency of 30-day mortality and ICU admission
The aim of this study will be to investigate if the fraily assessed according to CFS is associated with increased 30-day mortality in a Swedish Emergency Care context Secondary outcomes included 7-and 90-day mortality ED length of stay hospital admission hospital length of stay subsequent falls and medication changes Additionally we collect data on morbidity and comorbidities to assess the association with the level of frailty Since this is a multicenter study possible geographic differences will be studied as well Based on the results of this study possible interventions could be identified to improve the care of the frail geriatric patients presenting at the ED
The clinical frailty scale CFS is a measure of frailty based on clinical judgement in a 9 level scale categorized as vulnerable 1-4 mildly frail 5 moderatly frail 6 and severely and very severely frail 7-8 A validation study of the CFS in community-dwelling older people showed that it performed better than measures of cognition function or comorbidity in assessing risk for death In a prospective observational study including consecutive ED patients aged 65 years or older The Hosmer-Lemeshow test indicated a good agreement between predicted probability and observed frequency of 30-day mortality and ICU admission
The aim of this study will be to investigate if the fraily assessed according to CFS is associated with increased 30-day mortality in a Swedish Emergency Care context Secondary outcomes included 7-and 90-day mortality ED length of stay hospital admission hospital length of stay subsequent falls and medication changes Additionally we collect data on morbidity and comorbidities to assess the association with the level of frailty Since this is a multicenter study possible geographic differences will be studied as well Based on the results of this study possible interventions could be identified to improve the care of the frail geriatric patients presenting at the ED
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None