European Geriatric Emergency Departments Registry Study

Summary

Geriatric presentations to emergency services comprise a significant percentage of all emergency service presentations in Europe and it has been reported that 3-23% of all emergency service presentations from various regions of the countries. There are specific management practices for patients who are 65 years and older at emergency services. On the other hand several risk-scoring systems have been developed to define the severity class of the patient during their initial evaluation at emergency services.Only a few studies in the literature have evaluated risk-scoring systems for the geriatric patient group.Several studies have reported that risk-scoring systems, such as Identification of Seniors at Risk and Triage Risk Screening Tool, which are specifically developed for geriatric patients over 65 years who present to emergency services, are not sufficiently effective for evaluating patients in more severe conditions. Previously the TEDGeS (Turkish Emergency Departments Geriatric Scoring Study) pilot study was carried out and published by some of the investigators of this project.This pilot study enrolled all geriatric patients (age ≥ 65 years) and carried out in 13 centers from different cities of Turkey. This pilot study showed that geriatric patients not only constitute significant proportion of emergency department presentations but also these patients need more hospitalization. The predictive powers of the Modified Early Warning Score, Rapid Emergency Medicine Score and The Vital PAC Early Warning Score for hospitalization and mortality in geriatric patients those presented to emergency department are significantly high and might be concerned in the emergency department triage of these patients. Within the light of these pilot study results, the investigators have decided to execute this prospective, multinational, multicentric study with the main objective to determine the epidemiological and age related characteristics of geriatric patients presenting to the emergency department across Europe and evaluate early warning scoring systems systems regarding hospitalization, ICU admission and in-hospital mortality for geriatric patients.

Conditions

• Geriatric Patients
• Emergencies
• Length of Stay
• Early Warning Score
• Hospital Mortality

Sponsors & Collaborators

• European Society for Emergency Medicine (EUSEM) Research Network

  collaborator NETWORK

• Gazi University

  lead OTHER

Principal Investigators

• Said Laribi, MD. · CHU Tours

• Effie Polyzogopoulou, MD. · University General Hospital ATTIKON

• Kelly Janssens, MD. · Unity Health Toronto

• Anna Slagman, MD. · UKSH Campus Kiel

• Mehmet A. Karamercan, MD. · Gazi University Faculty of Medicine

• Zerrin D. Dundar, MD · Necmettin Erbakan University Meram Medicine Faculty

Eligibility

Min Age

65 Years

Max Age

110 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2020-10-15

Primary Completion

2021-02-21

Completion

2021-10-01

Countries

• Croatia
• France
• Germany
• Greece
• Ireland
• Turkey (Türkiye)

Study Locations