Trauma Triage Decision With Software (TraumaDS)

Trauma Clinical Trial

— TraumaDS  

Official title:

Triage With Software Assistance To Trauma Patient Who Attending To Emergency Department

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03357835
• Other study ID #: 2017/145
• Status: Recruiting
• Phase: N/A
• First received: November 13, 2017
• Last updated: November 29, 2017
• Start date: November 1, 2017
• Est. completion date: March 30, 2018

Study information

• Verified date: November 2017
• Source: Derince Training and Research Hospital
• Contact: Ahmet Akdogan, RA
• Phone: +905056773379
• Email: ahmetakd[@]hotmail.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

It is intended to show that a computer software called Trauma Decision System (TravmaDS) for the determination of the urgency of trauma patients who applied to Emergency Medical Clinic gives more accurate, more objective, faster results than the triage scored by medical and non-medical personnel and to show the fact that TraumaDS provides more patient satisfaction.

Description:

There are limitations in our routine standard of practice in Emergency medical clinic in rapid triage about the adequacy particularly in the patient group where specific and rapid decision-making, such as trauma. The process of evaluating the patients who are directed to the green area unnecessarily in trauma care by the physician is prolonged, the evaluation process of patients who are directed to the red area unnecessarily shortens but hospital resources are being used extensively. Therefore, in this study, it was planned to perform objective triage with a computer based scoring system. Triage scoring determined by the Ministry of Health (SB ), routinely performed by an emergency medical technician (EMT), will be applied when the patients are admitted to emergency services. According to this scoring, patients who need urgent care and who should not wait less than 15 minutes will be considered red coded, patients who can wait up to 60 minutes will be considered yellow coded, patients who can wait for 120 minutes or more will be considered green coded. To the other group, triage maintenance / evaluation will be done with computer software developed by us. All patients with trauma should be included in the study, demographic data, trauma mechanism and trauma type vital signs at the time of application of the patients will be routinely observed in both groups of patients. These observations are routine for this disease group and we will not undertake any interventional procedures or screening except special routine application for research purposes. The observation and file information will be organized by the triage staff in both groups at the time of the application of the patients. In this software-based program before working on the software informative training will be given to triage staff and for this patient triage handheld computers will be given to triage staff. In order for the referring patients to be able to see the entries made with the triage software a simultaneous large-screen monitor will be used. At the time of application, color codes indicating the urgency of the patients will be given according to the demographic data of the patients, the type of trauma and the vital signs were directed by the software program. As a result of the software program's direction, patients will be coded as green-yellow-orange-red area and patient care will be made in accordance with these codes.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 1000
• Est. completion date: March 30, 2018
• Est. primary completion date: January 31, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• all trauma patients who want to participate

Exclusion Criteria:

• who do not want to participate, who are not triaged, who leave the hospital before the treatment is completed

Related Conditions & MeSH terms

• Trauma
• Triage
• Wounds and Injuries

Intervention

Other:
• Trauma Decision System
At the time of application, color codes indicating the urgency of the patients will be given according to the demographic data of the patients, the type of trauma and the vital signs were directed by the software program. As a result of the software program's direction, patients will be coded as green-yellow-orange-red area and patient care will be made in accordance with these codes.

Locations

Country	Name	City	State
Turkey	Kocaeli Derince Training and Research Hospital	Derince	Kocaeli

Sponsors (1)

Lead Sponsor	Collaborator
Derince Training and Research Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Difference between software triage time and traditional triage time	Investigation difference of triages made by software and normal triage	5 minutes
Secondary	30-day mortality	Defined as mortality within 30 days of arrival to hospital	30 days