A Randomized Controlled Trial of Geriatric Emergency Department Innovations

  • STATUS
    Recruiting
  • End date
    Apr 30, 2023
  • participants needed
    840
  • sponsor
    Northwestern University
Updated on 8 April 2022

Summary

This study evaluates the Geriatric Emergency Department Innovations (GEDI) program at Northwestern Memorial Hospital to care for older adults in the emergency department. Half of the patients will be cared for by a standard ED team plus the GEDI team, while half of the patients will receive usual ED care.

Description

Hospitalization is common for older adults in the Emergency Department (ED) but it carries significant risks including the development of delirium, falls, and nosocomial infections. The Geriatric Emergency Department Innovations (GEDI) program at Northwestern Memorial Hospital attempts to identify and address health related risks for older adults without exposing them to the risks of hospitalization,. GEDI is a unique program consisting of a multidisciplinary team of Transitional Care Nurses (TCN), social workers, pharmacists, occupational therapists and physical therapists who perform ED-based geriatric assessment and care coordination.

To determine the impact of GEDI on health services use and Health Related Quality-of-Life (HRQoL) we will conduct a randomized controlled trial comparing GEDI compared to usual ED care(which often involves hospitalization).

Details
Condition Frailty
Treatment Intervention
Clinical Study IdentifierNCT04115371
SponsorNorthwestern University
Last Modified on8 April 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Northwestern Emergency Department patients who are
years or older
living independently or with friends, family, or caregivers in the community
Clinical Frailty Scale (CFS) score of 4 or greater

Exclusion Criteria

Patients will be excluded if they
Tested positive for COVID-19
Are unable to complete the assessments in English
Are unable to provide informed consent or complete follow-up participation
Have an Emergency Severity Index (ESI) score of 1 (critical) or 5 (non-urgent)
Are held in the ED involuntarily as a prisoner or patient with a psychiatric complaint
Are enrolled in another study to avoid patient fatigue and confounding
Received a GEDI, Social Work, Pharmacy, or Physical Therapy consult outside of this trial during the current ED visit
Leave the ED against medical advice or without being seen by a physician
Are admitted to the ICU
Are too medically unstable to participate in the assessment
Clear my responses

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What happens next?
  • You can expect the study team to contact you via email or phone in the next few days.
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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