Comprehensive Geriatric Assessment (CGA) is an established approach for better detection of frailty-related problems and includes individualized treatment plan with multi-discipline supportive and treating measures for the older frailty patients. However, there is limited evidence of feasibility and efficacy of the CGA when provided in the emergency department setting. In the GAOPS-study the efficacy of the CGA in emergency department setting will be studied by randomized controlled study protocol. We aim to study if the CGA provided in the ED is feasible, safe and efficient method when added with standard emergency care for older frail patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
432
Comprehensive Geriatric Assessment
Helsinki University Hospital, Jorvi ED
Espoo, Uusimaa, Finland
Cumulated Length of Stay
Cumulated stay (days) in hospital wards (university hospital and community hospital) including all admissions during the follow-up.
Time frame: Day 365
Admissions
Number of admissions to the hospital wards (university hospital and community hospital) during the follow-up.
Time frame: Day 30, Day 365
Admission rate
Proportion of admitted patients (university hospital or community hospital ward) from the index ED-visits.
Time frame: Day 0
Readmissions in the ED
Re-visits to the ED after the index-visit.
Time frame: Hour 72, Day 30, Day 365
Living at home
Proportion of the patients living at home.
Time frame: Day 365
Quality of Life
Change of the quality of life during one year follow-up using the standardized questionnaire EuroQol EQ-5D-5L. Measured value is the index value defined by the EuroQol group.
Time frame: Day 0, Day 365
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