Impact of An Emergency Response System on Anxiety and Health-Care Use
What to do after an elderly patient falls but is not seriously injured can be a very challenging decisions for the patient and the Emergency Physician. Unfortunately, homecare support is often unavailable for weeks. The patient and physician must then choose between discharge home without support, or hospitalization. An emergency response service (ERS) allows the patient to summon assistance from anywhere in their home, and may provide another option.
Objectives: To see how an ERS affects patients’ anxiety, fear of falling, and use of the health-care system after discharge. We will study patients over 70 years of age who have fallen but do not need to be hospitalized. Our belief is that the ERS will improve patient anxiety, and may prevent return visits to the Emergency or episodes of prolonged immobilization after a fall.
Methods: Patients agreeing to participate in the study will be assigned by chance to receive either current standard discharge care, or standard care plus the use of the emergency response system. Patients will be interviewed one month after discharge to compare the impact of the ERS. This study is a first step in deciding whether the ERS is a useful new technology.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Single Blind
Primary Purpose: Treatment
|Official Title:||A Randomized Clinical Trial To Asses The Impact of An Emergency Response System on Anxiety and Health-Care Use Among Older Emergency Patients After A Fall|
- Anxiety measured with the Hospital Anxiety and Depression Scale, at 1 month
- Fear of Falling, using Falls Efficacy Scale at 1 month
- Proportion who Returned to the Emergency Department by 2 months
- Proportion who are Hospitalized by 2 months
- Length of Stay by 2 months, in Days.
|Study Start Date:||November 2002|
|Estimated Study Completion Date:||June 2004|
|Sunnybrook Health Sciences Center|
|Toronto, Ontario, Canada, M4S 3M5|
|Principal Investigator:||Jacques S. Lee, MD||Sunnybrook Health Sciences Center|