Evaluation of the Triage Risk Screening Tool (TRST-U)

Evaluation of the Triage Risk Screening Tool (TRST) as Screening Instrument Elderly Subject Fragility at the Accident and Emergency Department

This study tried to describe diagnostic properties of TRST completed by an emergency doctor, for screening process for fragility of elderly subjects admitted at the accident and emergency department.

Study Overview

• Status: Completed
• Conditions: Elderly Subject Fragility

Detailed Description

A constant increase of emergencies admission of elderly subjects is registered. The current problem is the identification and early screening of these patients upon admission at the accident and emergency department for early tracking in geriatric network. This early assessment could allow a shorter waiting time, a better orientation of patients and a decrease in the number of re-hospitalization.

There are many screening process for fragility tests but there seem to be nonspecifically. The advantage of TRST is its simplicity and speed of filling.

In 2015, Duc et al. have found that TRST may be a screening instrument for elderly subject and is going to require geriatric mobile team (GMT) for evaluation. Unfortunately, the threshold may be too sensitive and GMT solicitation is too high.

• Study Type: Observational
• Enrollment (Actual): 199

Contacts and Locations

Study Locations

• France
  • Moselle
    • Metz, Moselle, France, 57085
      • CHR Metz Thionville

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 75 years and older (Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Elderly subject admitted to the emergency department

Description

Inclusion Criteria:

• Patients who are more than 75 years old
• Admitted to the emergency department for medical or surgical reason
• Admitted from Monday to Friday (8h30 AM- 6h PM)

Exclusion Criteria:

• Patient with specific care (vital emergency, urgent surgery)
• Patient or his support person opposing the use of data

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
TRST-U	Triage Risk Screening Tool completed by an emergency doctor	Day 1

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
TRST-G	Triage Risk Screening Tool completed by a geriatrician	Day 1
SEGA instrument	Evaluation of TRST versus SEGA instrument (gold standard)	Day 1

Collaborators and Investigators

• Sponsor: Centre Hospitalier Régional Metz-Thionville

Study record dates

Study Major Dates

• Study Start (Actual): October 1, 2018
• Primary Completion (Actual): January 1, 2019
• Study Completion (Actual): April 1, 2019

Study Registration Dates

• First Submitted: May 22, 2018
• First Submitted That Met QC Criteria: May 22, 2018
• First Posted (Actual): June 4, 2018

Study Record Updates

• Last Update Posted (Actual): August 28, 2019
• Last Update Submitted That Met QC Criteria: August 27, 2019
• Last Verified: April 1, 2018

More Information

Terms related to this study

• Keywords: Screening instrument
• Other Study ID Numbers: 2018-02Obs-CHRMT

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No