Clinical trials: Emergency Geriatric Care
Alzheimer s Disease, Vascular Dementia
Predictors of Emergency Department Use in Frail Patients
When admitted to the emergency department (ED), elderly non-autonomous patients show high risk of adverse health outcomes. The prompt identification of ED use risk factors in such population is hence needed.
- Conditions
- Alzheimer s Disease, Vascular Dementia, Frailty, Elderly
- Trial name
- THE-Spoke 10 (NCT07259499)
- Testing
- Plasma phosphorylated Tau 181
- Where
- Italy
- Volunteers
- 110 people
- Sponsor
- University of Pisa
Delirium Confusional State
Exploring the Effectiveness of Intelligent Audiovisual Interventions in Delirium, Agitation, and Pain Among Middle Aged and Elderly Patients in Emergency Intensive Care Units: A Quasi-Experimental Study
The goal of this nonrandomized, quasi-experimental clinical trial is to evaluate whether an intelligent audiovisual intervention can prevent delirium and reduce delirium severity, agitation, and pain among adults aged 55 years or…
- Trial name
- NCT07776002
- Testing
- Intelligent Audiovisual Intervention
- Volunteers
- 128 people
- Sponsor
- Taipei Veterans General Hospital, Taiwan
Heart Failure, Acute Decompensated Heart Failure
Reducing Readmission for Frail Elderly Patients With Decompensated Heart Failure
A randomized study designed to determine whether telephone based interventions can prevent return hospital visits for elderly and frail patients with acute symptoms of heart failure.
- Conditions
- Heart Failure, Acute Decompensated Heart Failure, Fragility, Emergencies
- Trial name
- HFF-ED (NCT03246035)
- Testing
- Intervention Group, Control Group (Standard Care)
- Where
- Canada
- Volunteers
- 60 people
- Sponsor
- Jewish General Hospital
Sepsis
Infected Elders in the Emergency Department: Outcomes and Processes of Care
The purpose of this study is to determine factors which predict a complicated hospital course and then to develop from these findings an Emergency Department guideline to assist in knowing who is at highest risk of elderly…
- Trial name
- NCT00591955
- Where
- United States
- Volunteers
- 213 people
- Sponsor
- Ohio State University
Fall
The Geriatric Acute & Post-acute Care Coordination Program for Fall Prevention in the Emergency Department II
In brief, this K76 study consists of a small open trial to refine the study protocol and train study personnel on study procedures (Aim 1.b.).
- Trial name
- GAPcareII (NCT04304495)
- Testing
- Fall Prevention
- Where
- 3 sites in United States
- Volunteers
- 197 people, healthy volunteers welcome
- Sponsor
- University of Colorado, Denver
Acute Hypoxemic Respiratory Failure, Acute Respiratory Distress Syndrome
EndotyPIng PreHospitAl de Novo Acute hYpoxemic Respiratory Failure
We attempt to perform dynamic endotyping of critically ill patients presenting in the emergency department with de novo acute hypoxemic respiratory failure (AHRF).
- Trial name
- EPIPHANY (NCT05150483)
- Where
- Greece
- Volunteers
- 350 people
- Sponsor
- Evangelismos Hospital
Emergencies
Optimized Acute Care for Geriatric Patients Using an Intersectoral Telemedical Cooperation Network - Around the Clock
Due to "demographic change", the composition of the population in Germany is changing. The consequence of this change is a population that is getting older on average.
- Trial name
- Optimal@NRW (NCT04879537)
- Testing
- Telemedical support
- Where
- Germany
- Volunteers
- 1,600 people, healthy volunteers welcome
- Sponsor
- RWTH Aachen University
Geriatric, Elderly
A Descriptive Multicenter Investigation of Geriatrics Hotlines : A French Study
In France, for general practitioners, the Emergency Hospitality Services (UAS) are the fastest and usual way to respond to the complexity of managing elderly polypathological patients.
- Trial name
- NCT03959475
- Where
- France
- Volunteers
- 2,000 people
- Sponsor
- Support and Education Technic Centre
Patient Admission, Death
Intensive Care Unit (ICU) Admission Decisions in the Elderly : the ICE-CUB Study
Percentage of patients over 80 admitted in ICU varies greatly from one center to another. ICU admission criteria of older patients are scarcely described and benefit of ICU admission for those patients is uncertain.
- Conditions
- Patient Admission, Death, Activities of Daily Living
- Trial name
- IceCub (NCT00912600)
- Testing
- Intensive Care Unit admission
- Where
- France
- Volunteers
- 2,643 people
- Sponsor
- Assistance Publique - Hôpitaux de Paris
Old Age; Debility, Health Services for the Aged
Physiotherapy Led Community Intervention for Older Adults Discharged From the Emergency Department
ED PLUS Emergency Department Discharge Physiotherapy Led Community Service is a pilot feasibility randomized controlled trial investigating the role of an integrated care intervention consisting of comprehensive geriatrics…
- Trial name
- EDPLUS (NCT04983602)
- Testing
- Comprehensive Geriatric Assessment arm, EDPLUS
- Where
- Ireland
- Volunteers
- 29 people
- Sponsor
- University of Limerick
Length of Stay, Admission to GIM
The Impact of a Geriatric Multidisciplinary Team 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.
- Conditions
- Length of Stay, Admission to GIM, Emergency Geriatric Care, Geriatric Health
- Trial name
- NCT07558031
- Where
- Canada
- Volunteers
- 1,012 people
- Sponsor
- St. Mary's Research Center, Canada
Health Services for the Aged, Emergency Service, Hospital
Impact of a Dedicated Geriatric Sector on the Loss of Functional Autonomy at 1 Month for Patients Admitted to Emergencies and Non-hospitalised
Several studies have shown that going to the emergency room is a risk factor for loss of independence in the elderly. It has been shown that the period following an emergency room visit without hospitalization is a period of…
- Conditions
- Health Services for the Aged, Emergency Service, Hospital, Ambulatory Care
- Trial name
- URG-GERIA (NCT04970784)
- Testing
- Activities of Daily Living (ADL) questionnaire (The Katz index )
- Where
- France
- Volunteers
- 285 people
- Sponsor
- Hospices Civils de Lyon
Patient Discharge
Discharge Planning for Elderly Patients in the Emergency Department: Use of a Brief Phone Call After Discharge to Improve Medication Utilization and Physician Follow-up
The investigators hypothesize that the acquisition and correct utilization of medications as well as arranging and attending follow-up appointments will improve as a result of a phone call intervention 1-3 days after elderly…
- Trial name
- NCT01207180
- Testing
- Phone call follow-up, Satisfaction survey, Control group --- no intervention
- Where
- United States
- Volunteers
- 157 people
- Sponsor
- University of North Carolina, Chapel Hill
Infection
Recognition of Serious Infections in the Elderly
The aim of this diagnostic accuracy study is to develop a clinical prediction rule based on signs, symptoms, patient characteristics and blood tests, to be used in ambulatory care to help physicians safely rule out a serious…
- Trial name
- ROSIE (NCT04516187)
- Testing
- signs and symptoms, blood tests
- Where
- 12 sites in Belgium
- Volunteers
- 493 people
- Sponsor
- KU Leuven
Aged, Home Care, Hospital-Based
Home-based Acute Care for Older Persons Initiated by the Emergency Medical and Ambulance Services - a Retrospective Observation of Effects on Healthcare Utilisation and Mortality
This observational study aims to examine outcomes of home-based acute care delivered by a mobile healthcare team in persons aged 75 years and older following an episode of acute illness.
- Conditions
- Aged, Home Care, Hospital-Based, Home Care Services, Emergency Medical Dispatch Centre
- Trial name
- NCT07472335
- Testing
- Type of care pathway
- Where
- Sweden
- Volunteers
- 5,000 people
- Sponsor
- Vastra Gotaland Region
Emergency Geriatric Care
Tools Development for Geriatric Emergency Regulation
According to surveys, 13% to 20% of the Service Médical d'Urgence (SAMU) centre 15 (French 911) calls concern elderly patients above 75 years of age.
- Trial name
- REGESA (NCT02712450)
- Where
- France
- Volunteers
- 2,279 people
- Sponsor
- Hospices Civils de Lyon
Elderly Care, Length of Hospital Stay
Emergency Room Evaluation and Recommendations for Older Users of Emergency Departments
The study evaluates if the Emergency Room Evaluation and Recommendation Tool (ER2) reduces the hospital admission rate and the length of stay in Emergency.
- Conditions
- Elderly Care, Length of Hospital Stay, Multimorbidity
- Trial name
- NCT04022551
- Where
- Canada
- Volunteers
- 4,724 people
- Sponsor
- Jewish General Hospital
Older Adults (65 Years and Older), Fall Prevention
Modifying the Geriatric Acute & Post-acute Care Coordination Program for Fall Prevention in the Emergency Department for Telehealth
The goal of this clinical trial is to determine the feasibility of eGAPcare, a telehealth modification of the GAPcare fall prevention intervention, in older adults in a community emergency department.
- Conditions
- Older Adults (65 Years and Older), Fall Prevention, Telehealth, Emergency Department
- Trial name
- eGAPcare (NCT07034287)
- Testing
- Telehealth physical therapy and pharmacy consultation
- Where
- United States
- Volunteers
- 40 people
- Sponsor
- University of Colorado, Denver
Accidental Falls, Aged
Whole-Body Point-of-Care Ultrasound in Older Adults Presenting to the Emergency Department After a Fall
Falls are one of the most common reasons older adults visit the emergency department. In many older patients, a fall that looks "mechanical" is actually caused by an underlying medical problem such as syncope, heart disease…
- Conditions
- Accidental Falls, Aged, Syncope
- Trial name
- NCT07886164
- Testing
- Whole-body point-of-care ultrasound (POCUS)
- Where
- Turkey (Türkiye)
- Volunteers
- 105 people
- Sponsor
- Kocaeli City Hospital
Falls (Accidents) in Old Age
GAPcare: The Geriatric Acute & Post-acute Care Coordination Program for Fall Prevention in the Emergency Department
GAPcare (Geriatric Acute \& Post-acute Care Coordination Program for Fall Prevention) is an early stage investigation that enrolls older adults who present to the Emergency Department after a fall to determine the feasibility of…
- Trial name
- GAPcare (NCT03360305)
- Testing
- GAPcare intervention
- Where
- 2 sites in United States
- Volunteers
- 110 people
- Sponsor
- Rhode Island Hospital