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CompletedNCT00591955Updated Jul 12, 2013

Infected Elders in the Emergency Department: Outcomes and Processes of Care

An observational study in Sepsis, sponsored by Ohio State University. Completed at 1 site in United States. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2013-07-12.

Sponsored by Ohio State University · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
213
Ages
65 Years and older
Sex
All
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Study summary

The purpose of this study is to determine factors which predict a complicated hospital course and then to develop from these findings an Emergency Department guideline to assist in knowing who is at highest risk of elderly patients with infection presenting for care.

Read the detailed description

The study is looking at how closely physicians adhere to treatment guidelines in caring for elderly patients, and then to determine if there are differences in elderly patient disease symptoms that result in a failure to use guidelines. If this is known, physicians can then be aware of these differences and provide appropriate care.

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Conditions studied

  • Sepsis

Keywords

  • geriatric
  • sepsis
  • outcome assessment(healthcare)
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In context

Sepsis

1,899 studies on the registry are indexed under Sepsis; 462 are open to participants now.

This study's enrollment of 213 is above the median of 160 across 931 observational studies indexed under Sepsis.

Browse Sepsis studies →

Lead sponsor

Ohio State University is the lead sponsor of 640 studies on the registry; 144 are open to participants now.

Of its 60 completed or terminated interventional studies of FDA-regulated products, 45 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients aged 65 or older who present to the Emergency Department with signs that could be consistent with infection

Inclusion criteria

  • age 65 or older
  • blood cultures ordered in the Emergency Department
  • admitted to the hospital from the Emergency Department

Exclusion criteria

Exclusion Criteria:

  • age less than 65
  • prisoners
  • Patient unable to provide consent and no legally authorized representative available
  • non-English speaking
  • ED visit or admission in the last 7 days for the same condition
  • primary evaluation by the trauma team
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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
213 participants (actual)
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What researchers measure

Primary outcomes

  1. Complicated Clinical course

    The presense of any one of the following will constitute a complicated clinical course: 1. mortality at 30 days 2. requirement for ICU admission or ICU-level care withing first 48 hours 3. positive blood cultures

    Time frame: 0-30 days from ED visit

Secondary outcomes

  1. Inadequate process of care

    failure to meet any one of the following will be considered inadequate processes of care: 1. obtain blood cultures prior to antibiotic administration 2. administration of antibiotics within 4 hours of presentation 3. measure serum lactate if patient has severe sepsis in the ED 4. Fluid resuscitation of 20-40cc/kg if mean arterial perssure is \<65mmHg despite fluid resuscitation

    Time frame: entire length of Emergency Department visit and hospitalization

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Study locations

1 site
  • The Ohio State University Medical Center
    Columbus, Ohio 43210, United States
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 12, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00591955
Lead sponsor
Ohio State University
Responsible party
Jeffrey Caterino (Assistant Professor, Ohio State University) — Principal investigator
First posted
Jan 11, 2008
Start date
Jan 2006
Primary completion
Oct 2008
Completion
Sep 2009
Last update
Jul 12, 2013

Study contacts

Jeffrey M Caterino, MD
principal investigator · The Ohio State University Department of Emergency Medicine

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2013. You cannot join it, but the record below documents what was studied.

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