RecruitingNCT07237334

A Prospective Cohort Study of Clinical and Process Outcomes of Older Adults That Transition Through the Geriatric Emergency Medicine Unit(GEM-U)

A Prospective Cohort Study of the Clinical and Process Outcomes of Older Adults That Transition Through the Geriatric Emergency Medicine Unit (GEM-U)

Sponsor

University of Limerick

Enrollment

150 participants

Start Date

Feb 10, 2025

Study Type

OBSERVATIONAL

Conditions

Frailty

Summary

This study will characterise the patients using the Geriatric Emergency Medicine Unit, a unit which provides specialist care for patients aged 75 years and older attending the emergency department. It will examine how this specialist care impacts their health in terms of a number of different outcomes, such as; function, quality of life and health care usage; for example admission to the acute hospital.

Eligibility

Min Age: 75 Years

Inclusion Criteria5

Older adults aged ≥75 years
Manchester Triage System category 2-5
Screen positive for risk of adverse outcomes after ED visit (≥ 2 on ISAR screening tool)
Presenting with a medical condition
Reviewed by the Older Persons Integrated Care Team

Exclusion Criteria9

Patients presenting with a non-medical issue including major trauma or hip fracture
Patients presenting with acute stroke or transient ischaemic attack
Patients more appropriate to another alternative pathway e.g. deep vein thrombosis pathway, low risk chest pain pathway
Patients with acute coronary syndrome or unstable arrthymia
Patients requiring care in the resuscitation room
Patients with head injury (unless appropriate assessment and management has been fully completed by ED team)
Patients with possible spinal injury (unless appropriate assessment and management has been fully completed by ED/orthopaedic team)
Patients with low Glasgow Coma Scale
Other exclusions at the discretion of the Older Persons Integrated Care team depending on team capacity and expertise