Triage Assessment and NEWS-score as Risk Predictor in Older Frailty Adults in the ED

Helsinki University Central Hospital1,711 enrolled

Overview

Emergency Department Triage Systems have not been shown to sufficiently recognize frail elderly patients in need of urgent assessment and care. In this prospective, observational study the performance of the 3-level triage system and the National Early Warning Score (NEWS) 2 are assessed (separately and combined) for predicting adverse outcomes in older frailty patients visiting in the ED. Observational data for this study is gathered as part of GAOPS - main study (ClinicalTrials.gov Identifier: NCT03751319).

Study Type

OBSERVATIONAL

Enrollment

1,711

Conditions

Frailty Aged Triage

Eligibility

Sex: ALLMin age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * "Clinical Frailty Scale" minimum 4 estimated at the arrival to the ED by nurse Exclusion Criteria: • Non-resident of the counties (City of Espoo, Kirkkonummi, Kauniainen) of the hospital district.

Locations (1)

Helsinki University Central Hospital, Jorvi

Espoo, Finland

Outcomes

Primary Outcomes

Mortality

Mortality during the 30 day follow-up

Time frame: 30 days

Secondary Outcomes

Hospital admission

Admission to hospital from the Emergency Department

Time frame: Day 0

ICU/HDU admission

Admission to the Intensive Care Unit or High Dependency Unit from the Emergency Department

Time frame: Day 0

Readmission in the ED

Re-visits to the ED after the index-visit

Time frame: Hour 72, Day 30