Outcomes for people 75 and older after an emergency department visit for an acute medical problem
Official title: Outcomes of Patients Over 75 Years of Age Who Consulted the Emergency Department for a Medical Problem, Depending on Their Direct Admission to a Medical Ward Versus Prior Hospitalization in the Short-Stay Unit (UHCD).
Run by University Hospital, Strasbourg, France · NCT07302555 · Data updated 2026-11-12
This project will see what happens to people aged 75 and older who came to the Strasbourg emergency department in 2019 for an acute medical problem and were considered for hospital admission.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 75 Years and up |
| Sex | All |
| Enrollment | 2000 (estimated) |
| Sponsor | University Hospital, Strasbourg, France Academic / other |
| Locations | 1 site (Strasbourg) |
| Status | Recruiting |
| Started | October 13, 2025 |
| Main results expected | April 2027 |
| Study ends | April 2027 |
| Registry record updated | December 24, 2025 |
| Trial ID | NCT07302555 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
People aged 75 or older who visited the Strasbourg Emergency Department (Hautepierre or NHC) in 2019 for an acute medical problem and were judged to need conventional medical ward hospitalization.
✕Probably not a fit
Patients admitted for scheduled hospitalizations, those with surgical conditions, patients who died in the ED before hospitalization, those discharged home from the ED, and those admitted directly to intensive care are excluded and will not be represented in this project.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a retrospective observational review of hospital records for patients aged 75 and older who presented to the Strasbourg Emergency Department (Hautepierre and NHC) in 2019 with an acute medical problem and an indication for conventional medical ward hospitalization. The analysis will describe care pathways including use of the Short-Stay Unit (UHCD), admission to conventional wards, transfers to ICU, in-ED deaths, discharge destinations, and downstream outcomes such as length of stay and readmission when available. Patients with scheduled admissions, surgical presentations, those who died in the ED prior to hospitalization, those discharged home from the ED, and those admitted directly to intensive care are excluded. The aim is to characterize how ED operational changes and UHCD use affect hospital flow and outcomes for frail older adults.
Why it matters
Potential benefit: If patterns that harm or help older patients are identified, hospitals could change how they use short-stay units and ED beds to reduce harmful admissions and improve care for people over 75.
How similar studies have gone: Observational work at other centers has reported mixed results—short-stay units can relieve ED crowding but may sometimes compromise care for frail older adults—so this project builds on existing, not wholly novel, evidence.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patient aged ≥ 75 years * Patient admitted to the Strasbourg Emergency Department (Hautepierre and NHC) during 2019 for an acute medical problem * Patient with an indication for hospitalization in a conventional medical ward Exclusion Criteria: * Patient who died during their visit to the Emergency Department prior to hospitalization * Patient admitted for a scheduled hospitalization * Patient not requiring hospitalization in a conventional medical ward (either discharged home after the Emergency Department visit or admitted to intensive care) * Patient admitted to the Emergency Department for a surgical condition
Where it's running
-
Service de Soins de Soins Médicaux et de Réadaptation - Réanimation - CHU de Strasbourg - France
Strasbourg, France Recruiting
Study contacts
- Study coordinator: Alexandre BOUSSUGE, MD
- Email: alexandre.boussuge@chru-strasbourg.fr
- Phone: 33 3 88 11 54 61
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.