Effectiveness of an Observational Unit at St. Olavs Hospital

Emergency Patients Clinical Trial

Official title:

An Open Randomized Trial of the Effectiveness of an Observational Unit at St. Olavs Hospital

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01092234
• Other study ID #: 2010/105-02
• Secondary ID: NO883974832
• Status: Completed
• Phase: N/A
• First received: February 23, 2010
• Last updated: September 28, 2017
• Start date: March 2010
• Est. completion date: March 2011

Study information

• Verified date: September 2017
• Source: St. Olavs Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The trial is designed to evaluate the effectiveness of a newly established Observational unit at St. Olavs Hospital in terms of readmission rates, compared to the provision of care in normal/traditional units for defined diagnosis and medical problems.

Description:

Observational units are thought to be more efficient than traditional ward units, but the evidence is scarce. The trial will in a randomized fashion evaluate the study hypothesis at an organizational level and not confined to specific diagnosis. The hypothesis to be tested is to confirm or reject the equal effectiveness of an Observational unit compared to a traditional ward for organizing in-hospital care.There are established eligibility and exclusion criteria based on clinical experience. Endpoint is length of stay and readmission within 30 days. In addition the study will give information on the use of diagnostic and treatment resources used and collect some basic demographic variables.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 105
• Est. completion date: March 2011
• Est. primary completion date: March 2011
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Emergency admitted patients only

• All patients on the list (appendix 1) with a tentative length of stay < 24 hours

• Predicted stay of less than 24 hours

• Willingness and able to sign a informed consent

Exclusion Criteria:

• Emergency admitted patients with life threatening illnesses

• Patients with a tentative length of stay > 24 hours based on the summary of medical and logistical considerations e.g. need of major - surgery, infections with prolonged infusions of antibiotics.

• Unwillingness to sign a informed consent

• By discretion of the physician/surgeon

• Readmission of any reason in the study period (within 30 days)

Related Conditions & MeSH terms

• Emergencies
• Emergency Patients

Intervention

Other:
• Traditional ward
provision of care in a traditional unit/ward.
• Organizational change
Observational unit (new organizational unit) for organizing in-hospital care

Locations

Country	Name	City	State
Norway	St. Olavs Hospital	Trondheim

Sponsors (1)

Lead Sponsor	Collaborator
St. Olavs Hospital

Country where clinical trial is conducted

Norway, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Length of stay (LOS)	Length of hospital stay in hours	1 year
Secondary	Readmission within 30 days	Readmission to hospital for any reason within 30 calender days	30 days