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Predictors of Emergency Department Use in Frail Patients

About this study

When admitted to the emergency department (ED), elderly non-autonomous patients show high risk of adverse health outcomes. The prompt identification of ED use risk factors in such population is hence needed. While cognitive impairment is a known clinical risk factor, biomarkers of most prevalent dementias have been scarcely investigated as possible ED use predictors. Within this context, this prospective study aims at exploring whether plasma phospho-tau181 and cerebrovascular burden can predict ED use at 6 months in elderly non-autonomous patients, irrespective of frailty.

Condition
Alzheimer s Disease, Vascular Dementia, Frailty, Elderly, Emergency Department Visits, Autonomy
Tested
Plasma phosphorylated Tau 181
Sponsor
University of Pisa

Who can join

Age
65 years and older
Sex
All sexes
Healthy volunteers
Not accepted

Inclusion 7

  • Minimum age: 65 years
  • Study condition: Alzheimer s Disease, Vascular Dementia, Frailty, Elderly, Emergency Department Visits, Autonomy
  • fluency in Italian language,
  • age higher than 64 years,
  • loss of autonomies of daily living as assessed by the Katz Activities of Daily Living or in the Lawton Instrumental Activities of Daily Living questionnaires,
  • having performed routinary blood exams in the 6 months prior to recruitment
  • having performed head neuroimaging feasable for cerebrovascular burden assessment, i.e., Magnetic Resonance Imaging (MRI) or computed tomography (CT), in the 6 months prior to recruitment.

Exclusion 1

  • withdrawal of the informed consent

Where

1 site, 1 recruiting

Azienda Ospedaliera Universitaria Pisana

Pisa, Pisa, Italy

Recruiting

Contact

Potential match only. Final eligibility is determined by the study team.