The design is a prospective observational study which evaluates the use of the interRAI Emergency Department Screener, the interRAI Emergency Department Contact Assessment (ED-CA) and the interRAI AcuteCare (AC) Assessment as a standardized systems approach to identify and address the needs of frail elderly patients in the acute care hospital setting.
This is accomplished through implementation of these instruments in up to 15 hospitals across Canada. Patients 75 and older who were admitted to an emergency department will be included. Depending on the length of stay, certain portions of the interRAI Acute Care could be completed up to a maximum of four times (premorbid, admission, review and discharge). Evaluations will only be done while the patient is in hospital. The estimated total number of completed ED screeners is 5,000.
This study only involves the completion of questionnaires, with the ED screener to be completed for all patients and more detailed assessments to take place for patients scoring 5 or more on the ED screener.