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Comprehensive geriatric assessment in the emergency department: A protocol for a prospective cohort study
Background: Comprehensive geriatric assessment (CGA) has been shown to improve outcomes in hospitalised older adults; however, there is currently no compelling evidence to support CGA interventions within the Emergency Department (ED). The aim of this study is to explore the clinical and process ou...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
F1000 Research Limited
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9582574/ https://www.ncbi.nlm.nih.gov/pubmed/36313054 http://dx.doi.org/10.12688/hrbopenres.13504.2 |
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author | O'Shaughnessy, Íde Robinson, Katie O'Connor, Margaret Conneely, Mairéad Steed, Fiona Ryan, Damien Carey, Leonora Shchetkovsky, Denys Shanahan, Elaine Leahy, Aoife Quinn, Colin Sheikhi, Ali Galvin, Rose |
author_facet | O'Shaughnessy, Íde Robinson, Katie O'Connor, Margaret Conneely, Mairéad Steed, Fiona Ryan, Damien Carey, Leonora Shchetkovsky, Denys Shanahan, Elaine Leahy, Aoife Quinn, Colin Sheikhi, Ali Galvin, Rose |
author_sort | O'Shaughnessy, Íde |
collection | PubMed |
description | Background: Comprehensive geriatric assessment (CGA) has been shown to improve outcomes in hospitalised older adults; however, there is currently no compelling evidence to support CGA interventions within the Emergency Department (ED). The aim of this study is to explore the clinical and process outcomes of older adults who receive ED-CGA over a period of six months after their initial ED attendance. Design: Prospective cohort study. Methods: The STrengthening the Reporting of the OBservational studies in Epidemiology (STROBE) standardised reporting guidelines will be adhered to. Older adults aged ≥65 years who score ≥2 on the Identification of Seniors at Risk (ISAR) tool and present to the ED with a medical complaint during the operational hours of the dedicated interdisciplinary team, will be considered eligible for recruitment. Demographic and health assessment information will be obtained at the ED index attendance followed by completion of an interdisciplinary CGA. A dedicated research nurse will complete follow-up telephone interviews with participants at 30 days and six months. The primary outcome will be incidence of hospital admission from the ED index attendance. Secondary outcomes will include functional decline, patient satisfaction with the ED index attendance, unscheduled ED reattendance(s), unscheduled hospital (re)admission(s), nursing home admission(s), healthcare utilisation, and death. Descriptive statistics will be used to profile the characteristics of the study participants and multivariate logistic and linear regression analysis will be used to analyse risk of adverse outcomes. Ethics and dissemination: Ethical approval was granted by the University of Limerick Hospital Group Research Ethics Committee (107/2021). The authors will disseminate study findings through publication in a peer-reviewed journal and presentation at national and international conferences. Patient and public involvement will be sought from a panel of older adults at the Ageing Research Centre in the University of Limerick. Clinicaltrials.gov Identifier: NCT05252182. |
format | Online Article Text |
id | pubmed-9582574 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | F1000 Research Limited |
record_format | MEDLINE/PubMed |
spelling | pubmed-95825742022-10-27 Comprehensive geriatric assessment in the emergency department: A protocol for a prospective cohort study O'Shaughnessy, Íde Robinson, Katie O'Connor, Margaret Conneely, Mairéad Steed, Fiona Ryan, Damien Carey, Leonora Shchetkovsky, Denys Shanahan, Elaine Leahy, Aoife Quinn, Colin Sheikhi, Ali Galvin, Rose HRB Open Res Study Protocol Background: Comprehensive geriatric assessment (CGA) has been shown to improve outcomes in hospitalised older adults; however, there is currently no compelling evidence to support CGA interventions within the Emergency Department (ED). The aim of this study is to explore the clinical and process outcomes of older adults who receive ED-CGA over a period of six months after their initial ED attendance. Design: Prospective cohort study. Methods: The STrengthening the Reporting of the OBservational studies in Epidemiology (STROBE) standardised reporting guidelines will be adhered to. Older adults aged ≥65 years who score ≥2 on the Identification of Seniors at Risk (ISAR) tool and present to the ED with a medical complaint during the operational hours of the dedicated interdisciplinary team, will be considered eligible for recruitment. Demographic and health assessment information will be obtained at the ED index attendance followed by completion of an interdisciplinary CGA. A dedicated research nurse will complete follow-up telephone interviews with participants at 30 days and six months. The primary outcome will be incidence of hospital admission from the ED index attendance. Secondary outcomes will include functional decline, patient satisfaction with the ED index attendance, unscheduled ED reattendance(s), unscheduled hospital (re)admission(s), nursing home admission(s), healthcare utilisation, and death. Descriptive statistics will be used to profile the characteristics of the study participants and multivariate logistic and linear regression analysis will be used to analyse risk of adverse outcomes. Ethics and dissemination: Ethical approval was granted by the University of Limerick Hospital Group Research Ethics Committee (107/2021). The authors will disseminate study findings through publication in a peer-reviewed journal and presentation at national and international conferences. Patient and public involvement will be sought from a panel of older adults at the Ageing Research Centre in the University of Limerick. Clinicaltrials.gov Identifier: NCT05252182. F1000 Research Limited 2022-09-14 /pmc/articles/PMC9582574/ /pubmed/36313054 http://dx.doi.org/10.12688/hrbopenres.13504.2 Text en Copyright: © 2022 O'Shaughnessy Í et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Study Protocol O'Shaughnessy, Íde Robinson, Katie O'Connor, Margaret Conneely, Mairéad Steed, Fiona Ryan, Damien Carey, Leonora Shchetkovsky, Denys Shanahan, Elaine Leahy, Aoife Quinn, Colin Sheikhi, Ali Galvin, Rose Comprehensive geriatric assessment in the emergency department: A protocol for a prospective cohort study |
title | Comprehensive geriatric assessment in the emergency department: A protocol for a prospective cohort study |
title_full | Comprehensive geriatric assessment in the emergency department: A protocol for a prospective cohort study |
title_fullStr | Comprehensive geriatric assessment in the emergency department: A protocol for a prospective cohort study |
title_full_unstemmed | Comprehensive geriatric assessment in the emergency department: A protocol for a prospective cohort study |
title_short | Comprehensive geriatric assessment in the emergency department: A protocol for a prospective cohort study |
title_sort | comprehensive geriatric assessment in the emergency department: a protocol for a prospective cohort study |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9582574/ https://www.ncbi.nlm.nih.gov/pubmed/36313054 http://dx.doi.org/10.12688/hrbopenres.13504.2 |
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