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Impact of An Emergency Response System on Anxiety and Health-Care Use

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00330720
Recruitment Status : Completed
First Posted : May 29, 2006
Last Update Posted : May 29, 2006
The Physicians' Services Incorporated Foundation
Information provided by:
Sunnybrook Health Sciences Centre

Brief Summary:

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.

Condition or disease Intervention/treatment Phase
Anxiety Falls Fear of Falling Device: Emergency Response System (Device) Not Applicable

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Study Type : Interventional  (Clinical Trial)
Enrollment : 80 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single
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
Study Start Date : November 2002
Study Completion Date : June 2004

Resource links provided by the National Library of Medicine

Primary Outcome Measures :
  1. Anxiety measured with the Hospital Anxiety and Depression Scale, at 1 month

Secondary Outcome Measures :
  1. Fear of Falling, using Falls Efficacy Scale at 1 month
  2. Proportion who Returned to the Emergency Department by 2 months
  3. Proportion who are Hospitalized by 2 months
  4. Length of Stay by 2 months, in Days.

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   70 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Age greater than or equal to 70 years.
  2. Primary complaint of a fall and discharged home directly from the Emergency Department -

Exclusion Criteria:

  1. Admitted to hospital
  2. Not independently living
  3. No Phone Line
  4. Unable to give informed consent
  5. Living outside geographic catchment area -

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 identifier (NCT number): NCT00330720

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Canada, Ontario
Sunnybrook Health Sciences Center
Toronto, Ontario, Canada, M4S 3M5
Sponsors and Collaborators
Sunnybrook Health Sciences Centre
The Physicians' Services Incorporated Foundation
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Principal Investigator: Jacques S. Lee, MD Sunnybrook Health Sciences Center
Sherwood S, Morris J. A study on the effects of an emergency alarm system for the aged: a final report. Boston, MA: Hebrew Rehabilitation Center for Aged; 1980. Grant No. HSO1788.
Dibner A. Personal emergency response systems: comunication technology aids eldery and their family. J Appl Gerontol. 1990;9:504-510.

Layout table for additonal information Identifier: NCT00330720    
Other Study ID Numbers: 205-2002
PSIF Grant #02-13
First Posted: May 29, 2006    Key Record Dates
Last Update Posted: May 29, 2006
Last Verified: September 2004
Keywords provided by Sunnybrook Health Sciences Centre:
Personal Emergency Response System
Fear of Falling
Additional relevant MeSH terms:
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Anxiety Disorders
Mental Disorders
Disease Attributes
Pathologic Processes