ER Evaluation Tool for Health Impairment in Seniors

Not currently recruiting at 1 trial location

Age: 65+

Sex: Any

Trial Phase: Academic

Sponsor: Jewish General Hospital

Disqualifiers: Age 74 or less

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 2

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to examine how different risk levels, determined by the Emergency Room Evaluation Tool (ER2), relate to the length of hospital stay for seniors. It focuses on patients admitted to medical or surgery wards after visiting the emergency room. The researchers seek to understand whether risk assessments can predict the duration of hospital stays for seniors. Participants should be 75 years or older and have an unplanned emergency room visit, arriving on a stretcher. As an unphased trial, this study offers a unique opportunity to contribute to research that could enhance hospital care for seniors.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that the Emergency Room Evaluation Tool (ER2) is safe for seniors?

Research shows that the Emergency Room Evaluation Tool (ER2) helps healthcare workers quickly assess older adults upon arrival at the emergency room. Studies have found that this tool can be used in less than five minutes, making it practical and efficient for busy emergency settings. The tool sorts patients based on the urgency of their need for care.

No evidence suggests that the tool harms patients. Instead, it aims to improve the care process. As the tool is non-invasive and does not involve medication or physical procedures, no negative effects have been reported. Overall, the ER2 is considered safe for use with older adults in emergency situations. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the Emergency Room Evaluation Tool (ER2) because it offers a new approach to assessing seniors in emergency situations. Unlike typical evaluations that might rely on a quick, subjective assessment, ER2 provides a structured, systematic method to evaluate health impairments in seniors who are brought in on stretchers. This tool aims to improve the accuracy and speed of diagnosis, potentially leading to better-targeted treatments and outcomes for elderly patients in emergency settings. By focusing on a comprehensive evaluation process, ER2 could enhance decision-making and optimize care for a vulnerable population.

What evidence suggests that the Emergency Room Evaluation Tool (ER2) is effective for evaluating health impairment in seniors?

Research shows that the Emergency Room Evaluation Tool (ER2), used to evaluate participants in this trial, effectively identifies older emergency room patients who may have more health problems. Studies have found that the ER2 assists healthcare workers in determining who requires more attention, sometimes resulting in shorter hospital stays. The tool employs a simple scoring system to categorize patients into low, moderate, or high-risk groups, effectively prioritizing care. Early results suggest that the ER2 may improve outcomes for elderly patients by ensuring they receive appropriate care promptly. ^{1 2 3 6 7}

Who Is on the Research Team?

Olivier Beauchet, MD

Principal Investigator

Jewish General Hospital

Are You a Good Fit for This Trial?

This trial is for individuals aged 75 and older who have had an unplanned visit to the Emergency Department (ED) and are on a stretcher. It's not open to anyone younger than 75.

Inclusion Criteria

I had an unexpected visit to the ER and was on a stretcher.

I am 75 years old or older.

Exclusion Criteria

I am 74 years old or younger.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

24 hours

1 visit (in-person)

Evaluation

Patients are evaluated using the Emergency Room Evaluation Tool (ER2) to assess risk levels and usability of the tool

24 hours

1 visit (in-person)

Follow-up

Participants are monitored for short-term adverse events and length of hospital stay

30 days

What Are the Treatments Tested in This Trial?

Interventions

• Emergency Room Evaluation Tool (ER2)

Trial Overview The study is testing the ER2, which is an evaluation tool used in the ED. The goal is to see how different risk levels assigned by this tool relate to the length of hospital stay for seniors admitted from the ED.

How Is the Trial Designed?

Group I: Emergency Room Evaluation Tool (ER2) Experimental Treatment 1 Intervention

Patients who are 75 years and over, and who are brought to Emergency in stretchers will be evaluated based on the Emergency Room Evaluation Tool (ER2).

Who Is Running the Clinical Trial?

Jewish General Hospital

Lead Sponsor

Trials

144

Recruited

283,000+

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC8770802/

“Emergency Room Evaluation and Recommendations” (ER2 ... The Emergency Room Evaluation and Recommendations (ER2) tool is a validated clinical assessment that screens for older ED users at a high risk ...

2. journals.plos.org journals.plos.org/plosone/article?id=10.1371/journal.pone.0249882

Risk for short-term undesirable outcomes in older emergency ... The ER2 tool allows for more effective triage of older ED patients; it enables ED healthcare workers to identify this lower risk population amongst elderly ED ...

3. clinicaltrials.gov clinicaltrials.gov/ct2/show/NCT03964311

Risk for Short-term Adverse Events in Older Emergency ... This study evaluates the association between risk levels (i.e.; low, moderate and high) of Emergency Room Tool (ER2) and length of stay in older Emergency Room ...

4. researchgate.net researchgate.net/publication/357678454_Emergency_Room_Evaluation_and_Recommendations_ER2_Tool_for_the_Screening_of_Older_Emergency_Department_Visitors_With_Major_Neurocognitive_Disorders_Results_From_the_ER_Database

Results From the ER Database ... assessment tool Comprehensive Health Assessment for My Plan. ... impairment in Emergency Department (ED) requires short, reliable tools.

5. cfn-nce.ca cfn-nce.ca/wp-content/uploads/2019/10/Talk_ED_Beauchet_2019Sept11.pdf

EMERGENCY ROOM EVALUATION & ... ER2 - ASSESSMENT. SIMPLE CLINICAL TOOL… USABLE BY EVERONE EVERYWHERE. _. Interpretation: 0-3=Low risk; 4-5=moderate risk; ≥6 High risk. Total score =14.

6. pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov/35069410/

"Emergency Room Evaluation and Recommendations ... "Emergency Room Evaluation and Recommendations" (ER2) Tool for the Screening of Older Emergency Department Visitors With Major Neurocognitive ...

7. mdpi.com mdpi.com/2227-9032/13/9/1022

Emergency Department Clinical Quality Registries ... (ER2) Tool for the Screening of Older Emergency Department Visitors with Major Neurocognitive Disorders: Results from the ER2 Database. Front. Neurol. 2022 ...