Implementation and Evaluation of an Electronic Alert to Encourage Targeted Screening for HIV Infection at Foch Hospital According to Socio-demographic Criteria

HIV Testing Clinical Trial

— POP-UP  

Official title:

Implementation and Evaluation of an Electronic Alert to Encourage Targeted Screening for HIV Infection at Foch Hospital According to Socio-demographic Criteria: Pilot Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03991767
• Other study ID #: 2016/51
• Status: Completed
• Phase: N/A
• Start date: April 4, 2018
• Est. completion date: October 4, 2019

Study information

• Verified date: December 2019
• Source: Hopital Foch
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

In 2013 in France, 29,000 people are reported to be unaware of their HIV status. HIV testing is a priority in France where one third of all diagnoses remain late despite 5 million annual tests. It is recommended to offer at least one HIV test to the general population, over the life course, when seeking care and more frequently to populations at risk. Several international and national articles have shown that emergency screening is feasible and well accepted. But also that during systematic screening few infections were discovered, and the majority of newly diagnosed people belonged to the most exposed groups.

Our hypothesis is that an electronic alert would identify people who are unaware of their HIV status. This alert would be based on two data: social data (French health coverage) and the country of birth. This alert is only relevant in high-prevalence regions, as is the case in the Ile de France region.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 297
• Est. completion date: October 4, 2019
• Est. primary completion date: October 4, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Patient hospitalized at Foch Hospital over 18 years of age.

• Patient with AME or CMU and/or CMUc, or patient born in one of the following countries/regions: Sub-Saharan Africa, Haiti, South America, Asia, Eastern Europe, Guadeloupe, Martinique and Guyana

Exclusion Criteria:

• Patient whose vital prognosis at the time of admission does not allow him/her to indicate his/her non-opposition to an HIV test.

• Patient being followed for a known HIV infection.

Related Conditions & MeSH terms

• HIV Infections
• HIV Testing

Intervention

Other:
• "POP-UP" electronic alert
Implementation of the "POP-UP" electronic alert for all patients with eligibility criteria

Diagnostic Test:
• Serology HIV
Realization of HIV serology for included patients.

Locations

Country	Name	City	State
France	Hopital Foch	Suresnes

Sponsors (1)

Lead Sponsor	Collaborator
Hopital Foch

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Evaluation of HIV testing practices : screening proposal rate, patient acceptance rate and serological achievement rate	Evaluation of the practice of hospital doctors at Foch Hospital following the implementation of "POP-UP" electronic alert to encourage targeted screening for HIV infection according to specific socio-demographic criteria : Screening proposal rate (= number of proposition compared to number of eligible patients).; Patient acceptance rate (= number of eligible patients acceptances compared to number of screening proposals).; Serological achievement rate (= number of serologies compared to number of eligible patients).	18 months
Secondary	Study of the obstacles	Study of the obstacles encountered by clinicians in proposing screening tests induced by electronic alerting by questionnaire of satisfaction.	18 months
Secondary	Prospective data vs retrospective data : number of screening serologies performed	Comparison of the number of screening serologies performed in eligible inpatients by the POP-UP" electronic alert versus the retrospective data of the 12 months preceding the implementation of the alert .	18 months
Secondary	Newly HIV+	Number of hospitalized patients newly diagnosed HIV	18 months
Secondary	Positivity rate	Number of newly diagnosed HIV vs the number of serologies performed	18 months