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Identification of Risk Patients in Emergency Medical Services

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ClinicalTrials.gov Identifier: NCT03759314
Recruitment Status : Recruiting
First Posted : November 29, 2018
Last Update Posted : November 29, 2018
Sponsor:
Collaborator:
Helsinki University
Information provided by (Responsible Party):
Marja Mäkinen, Helsinki University Central Hospital

Brief Summary:
Background: Inadequate nutrition has been associated with growing risk of falling and impaired ability in elderly patients. Falling is a significant threat to the health of the elderly. It is estimated that one third of people over the age of 65 experience at least one falling each year. Over 60% of the falls cause serious injury or disability. Adequate nutrition increases the muscle strength of the elderly. Therefore, determining and managing the nutrition level is important for preventing falling. As far as we know emergency medical services has never before reported being a part of prevention by performing risk identification.

Condition or disease Intervention/treatment
Malnutrition Falling Cognitive Impairment Other: Observation

Detailed Description:

Aim: The purpose of the study is to assess whether it is possible to use a simple screening tool to find out the risk of falling, the nutritional status and the level of cognitive functioning activity when the EMS faces the elderly over the age of 70 years. In addition, the flow of information between primary care and emergency services and nutritionists is examined.

Material and method: Identification of poor nutrition is carried out in the Helsinki University hospital area. All people over the age of 70 requiring ambulance transport will be included in the study for 4 months during 2018. A structured electronic form is used to identify the malnutrition, the level of cognitive functioning activity and the risk of falling. The assessment is performed during the transport. The data is analyzed by the SPSS statistical program both by descriptive and statistical significance by looking at the methods suitable for the data.

Conclusion: The information produced by the research aims to develop (a) Identifying in the ambulance those patients who are at risk; and (b) activating nursing staff and nutritionists and, by means of these measures, increase the number of patients receiving effective nutrition therapy.


Study Type : Observational
Estimated Enrollment : 500 participants
Observational Model: Other
Time Perspective: Retrospective
Official Title: Identification of Risk Patients in Emergency Medical Services
Actual Study Start Date : September 1, 2018
Estimated Primary Completion Date : December 31, 2018
Estimated Study Completion Date : December 31, 2020

Resource links provided by the National Library of Medicine



Intervention Details:
  • Other: Observation
    to use a simple screening tool to find out the risk of falling, the nutritional status and the level of cognitive functioning activity


Primary Outcome Measures :
  1. Identifying in the ambulance those patients who are at risk (over 3 points) [ Time Frame: Through study completion an average of 4 months ]

    to use a simple screening tool to find out the risk of falling, the nutritional status and the level of cognitive functioning activity when the EMS faces the elderly over the age of 70 The risk-screening tool is based on valid scales. RISK SCREENING TOOL;

    Risk of falling:

    Prediction of falls (4 items, 0-3 points) Self-reporting of falls over a 12-month period (3 items, 0-3 points)

    Malnutrition Risk:

    Home care and meal services (3 items) Nutritional status (4 items, 0-3 points) Effect of the diseases on nutrition (4 items, 0-3 points) Age (1 item, 1 point)

    Delirium and cognitive functioning:

    Alertness / memory / attention deficit / symptoms (4 items, 0-3 points)

    Complete when:

    > 70 years patient The patient's physical state allows. Mostly completed during transport (no need to add actual time on scene). Possible risk points are reported at donation to the emergency department.




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Ages Eligible for Study:   70 Years to 104 Years   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
All people over the age of 70 requiring ambulance transport will be included in the study for 4 months during 2018 in the Helsinki University hospital area.
Criteria

Inclusion Criteria:

  • All people over the age of 70 requiring ambulance transport will be included in the study for 4 months during 2018.

Exclusion Criteria:


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03759314


Contacts
Contact: Marja Mäkinen, PhD +3587754585 marja.makinen@hus.fi
Contact: Maaret Castrén, MD, PhD maaret.castren@hus.fi

Locations
Finland
Department of Emergency Medicine and Services, Helsinki University Hospital and Helsinki University, Helsinki, Finland Recruiting
Helsinki, Helsinki Usimaa, Finland
Contact: Marja Mäkinen, PhD    +358407754585    marja.makinen@hus.fi   
Principal Investigator: Marja Mäkinen, PhD         
Sub-Investigator: Heini Harve-Rytsälä, MD, PhD         
Sub-Investigator: Jussi Pirneskoski, MD, PhD         
Principal Investigator: Maaret Castrén, MD, PhD         
Sponsors and Collaborators
Helsinki University Central Hospital
Helsinki University

Responsible Party: Marja Mäkinen, Researcher, Helsinki University Central Hospital
ClinicalTrials.gov Identifier: NCT03759314     History of Changes
Other Study ID Numbers: §50, 27.3.2018
First Posted: November 29, 2018    Key Record Dates
Last Update Posted: November 29, 2018
Last Verified: November 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Marja Mäkinen, Helsinki University Central Hospital:
EMS, elderly, inadequate nutrition, falling, cognitive functioning

Additional relevant MeSH terms:
Emergencies
Cognitive Dysfunction
Malnutrition
Disease Attributes
Pathologic Processes
Cognition Disorders
Neurocognitive Disorders
Mental Disorders
Nutrition Disorders