Call for tender for project: Aid for health research and development projects 2023: Promotion of health research activity

Funding body: Department of Health of the Basque Government

Record no.:2023111083

PI: Susana García

Funding awarded: €105.485,45.

Description: This project is part of Osakidetza’s strategic plan, to make humanisation, value-based care, excellence in care, quality and patient safety the core elements for achieving excellence in Osakidetza. In the Osakidetza Patient Safety 2030 plan, safety in the emergency department has been consolidated as a stable reference group in terms of safety.

Objective:

• Establish reference values for vital signs for the population over 65 years of age.
• To identify the most frequent emergency presentations in the population over 65 years of age.
• Develop and validate predictive models of poor outcome (ED exitus, admission to ICU/ICU or conventional admission, as well as mortality, revisits and readmissions 30 days after hospital discharge) in the ED incorporating the adapted vital signs ranges and the most frequent symptoms in this population.
• To evaluate the predictive capacity of the FIM frailty scale to detect poor outcome and to compare a model incorporating this scale with those created in objective 3.

Expected results: The models resulting from this project would be immediately applicable in emergency departments as it is expected that a predictive model of poor evolution adapted to the population over 65 years of age would help us to better discriminate patients at risk of poor evolution within the ED and up to one month of discharge so that ED clinicians can make better decisions about their destination, treatment and management, thus improving patient safety. The project will allow resources for this population segment to be more targeted, benefiting other patients as well as managers by helping them to invest resources in a more targeted and evidence-based way.