Pulse.

a daily field guide to health research that matters

◆ Console

‹ Sun · 27 Sep 2026
Standard addition

DEED-FRAIL trial: A cluster-randomized trial of a frailty-oriented multicomponent ED discharge intervention for older adults with geriatric vulnerability and acute heart failure.

To evaluate the impact of the multilevel-guided discharge plan (MGDP) on clinical outcomes in older patients with geriatric vulnerability and acute heart failure (AHF) discharged from the ED. In older patients with geriatric vulnerability and AHF discharged home from the ED or related units, MGDP did not demonstrate a statistically significant reduction in 30-day adverse outcomes.

To evaluate the impact of the multilevel-guided discharge plan (MGDP) on clinical outcomes in older patients with geriatric vulnerability and acute heart failure (AHF) discharged from the ED. In older patients with geriatric vulnerability and AHF discharged home from the ED or related units, MGDP did not demonstrate a statistically significant reduction in 30-day adverse outcomes.

What the study was

Study design
Randomized controlled trial
Population
To evaluate the impact of the multilevel-guided discharge plan (MGDP) on clinical outcomes in older patients with geriatric vulnerability and acute heart failure (AHF) discharged from the ED.
Sample size
472
Category
Other
Maturity
Validated
Journal
European journal of internal medicine

Why it surfaced

Randomized controlled trial with abstract evidence; scored conservatively for novelty, clinical relevance, design quality, and population or unmet need.

A plain-language summary of published research — not medical advice. Talk to a clinician about your own care.