What is this study trying to find out about frailty in older adults?

This study is examining how specialized care in the Geriatric Emergency Medicine Unit affects health outcomes for older adults living with frailty. Researchers want to see how this care impacts hospital admission rates, quality of life, function, and healthcare use. The University of Limerick is leading the research to improve care for this vulnerable group.

Who may be eligible for this frailty clinical trial?

Adults aged 75 and older who visit the emergency department with a medical condition and are at risk for adverse outcomes may be eligible. There are no gender restrictions. People with major trauma, stroke, or acute coronary issues are not eligible. Please review eligibility criteria for more details.

Is there any cost to participate in this frailty clinical trial?

Study-related care, including all assessments and follow-up visits, is provided at no cost. However, personal travel and other expenses may vary and are not guaranteed to be covered.

Actively Recruiting

Age: 75Years +

All Genders

ID07237334

Study of Health Outcomes for Adults Aged 75 and Older Using the Geriatric Emergency Medicine Unit GEM-U

Led by University of Limerick · Updated on 2025-11-19

150

Participants Needed

Research Sites

N/A

Total Duration

AI-Summary

What this Trial Is About

Researchers are evaluating the care provided by the Geriatric Emergency Medicine Unit GEM-U for older adults aged 75 years and older attending the emergency department. This study aims to understand how this specialized, holistic care impacts important health outcomes such as hospital admission rates, function, quality of life, and healthcare usage. The study focuses on frail older adults who require comprehensive, person-centered care due to complex health issues. The GEM-U delivers care through a team approach using comprehensive geriatric assessment by multiple healthcare disciplines. Participants will be monitored over time with follow-ups at 30 days and 6 months after their initial GEM-U visit. The study will collect data on clinical and process outcomes including measures of function, delirium, frailty, nutrition, quality of life, and patient satisfaction. During the study, participants will complete various assessments such as the Barthel Index for function, delirium screening, Clinical Frailty Scale, Mini Nutritional Assessment, EuroQoL-5D-5L quality of life questionnaire, and a patient satisfaction survey PSQ-18. Researchers will track hospital admissions, mortality, emergency visits, nursing home admissions, and healthcare use at 30 days and 6 months. All participants provide informed consent and data will be analyzed following standardized reporting guidelines.

CONDITIONS

Brief Title

A Prospective Cohort Study of Clinical and Process Outcomes of Older Adults That Transition Through the Geriatric Emergency Medicine Unit(GEM-U)

Who Can Participate

Age: 75Years +

All Genders

Eligibility Criteria

You may qualify if you...

Older adults aged 63;75 years
Manchester Triage System category 2-5
Screen positive for risk of adverse outcomes after ED visit (63;2 on ISAR screening tool)
Presenting with a medical condition
Reviewed by the Older Persons Integrated Care Team

You will not qualify if you...

Patients presenting with a non-medical issue including major trauma or hip fracture
Patients presenting with acute stroke or transient ischaemic attack
Patients more appropriate to another alternative pathway (e.g., deep vein thrombosis pathway, low risk chest pain pathway)
Patients with acute coronary syndrome or unstable arrthymia
Patients requiring care in the resuscitation room
Patients with head injury unless fully assessed and managed by ED team
Patients with possible spinal injury unless fully assessed and managed by ED/orthopaedic team
Patients with low Glasgow Coma Scale
Other exclusions at the discretion of the Older Persons Integrated Care team depending on capacity and expertise
Exclusion criteria align with UHL Operating Policy of the Older Persons Integrated Care Team

Research Team

Ida M Carroll, MSc

Rose Galvin

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Study of Health Outcomes for Adults Aged 75 and Older Using the Geriatric Emergency Medicine Unit GEM-U

On this page

AI-Summary

What this Trial Is About

Brief Title

Who Can Participate

Eligibility Criteria

Research Team

Not the Right Trial for You?

On this page

Who Can Participate

Eligibility Criteria