Emergencies Clinical Trial
— TRIAGEOfficial title:
Optimizing Triage and Hospitalisation In Adult General Medical Emergency Patients: the TRIAGE Study
Verified date | December 2014 |
Source | University Hospital, Basel, Switzerland |
Contact | n/a |
Is FDA regulated | No |
Health authority | Switzerland: Ethikkommission |
Study type | Observational |
Patients presenting to the emergency department (ED) currently face inacceptable delays in initial treatment, and long and costly hospital stays due to suboptimal initial triage. Accurate ED triage should focus not only on initial treatment priority, but also on prediction of medical risk and nursing needs to improve site of care decision and to simplify early discharge management. Herein, we propose a large prospective cohort study to optimize initial patient triage for (a) better determination of initial treatment priority, (b) overall risk and need for inhospital treatment and (c) early assessment of post-acute nursing needs.
Status | Completed |
Enrollment | 7000 |
Est. completion date | October 2014 |
Est. primary completion date | October 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - All consecutive medical patients seeking ED care Exclusion Criteria: - age below 18 years |
Observational Model: Cohort, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
Switzerland | University Clinic, Kantonsspital Aarau | Aarau | AG |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Basel, Switzerland |
Switzerland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Initial triage priority | Initial triage priority adjudicated by the attending ED physician. Attending ED physicians will classify all patients at ED discharge as either high triage priority or low triage priority in respect to the time patients need to be seen by a physician based on all available information at ED discharge | within 30 days | No |
Primary | Adverse 30 day outcome (death or intensive care unit admission) within 30 days following ED admission | Adverse 30 day outcome (death or intensive care unit admission) within the hospital stay and within 30 days following ED admission | Within 30 days of ED admission | No |
Primary | Care needs after hospital discharge | Care needs after hospital discharge will be defined as transfer of patients to a post-acute care institution (i.e. transition to a nursing home and others). | Within 30 days | No |
Secondary | Time to first physician contact | Time to first physician contact as assessed in the nursing chart; we will investigate this endpoint stratified by patient risk, i.e. we will compare time to first physician contact in high-triage-priority and low-triage-priority patients and stratified by different diagnoses. | Within 30 days | No |
Secondary | Time to initiation of adequate medical therapy | Time to initiation of adequate medical therapy in predefined subgroups (e.g., antibiotic therapy for infections, door to needle time for myocardial infarction; early goal directed therapy in sepsis patients, pain relief medication in patients presenting with pain, blood pressure control in patients with a hypertensive crisis); we will further assess time to discharge from the ED to the ward. | Wihtin 30 days | No |
Secondary | Satisfaction with care | Satisfaction with care as assessed with a systematic questionnaire in the day 30 telephone interview | Within 30 days | No |
Secondary | Hospital costs | Overall hospital costs as assessed by the electronic medical records | Within 30 days | No |
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