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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04516044
Other study ID # STUDY20070012
Secondary ID DP2LM012339
Status Completed
Phase
First received
Last updated
Start date October 30, 2016
Est. completion date December 1, 2020

Study information

Verified date February 2021
Source University of Pittsburgh
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

In 2016 and 2017 the investigators conducted two clinical trials in which emergency medicine physicians were randomized either to an intervention (customized, theoretically-based video games) or to a control (nothing or text-based education). This study will now assess long-term outcomes for physicians enrolled in those two trials to evaluate the effect of the interventions on triage practices for trauma patients who presented initially to non-trauma centers in the US between December 2016 and November 2018.


Recruitment information / eligibility

Status Completed
Enrollment 686
Est. completion date December 1, 2020
Est. primary completion date December 1, 2018
Accepts healthy volunteers
Gender All
Age group 25 Years to 100 Years
Eligibility Inclusion Criteria: - Participated in two prior clinical trials (Physician) - =65 years old (Patient) - enrolled in Medicare fee-for-service - sustained a moderate-severe injury (i.e. ISS [injury severity score] >15) (Patient) - treated by physician enrolled in prior clinical trials (Patient) Exclusion Criteria: - Did not participate in two prior clinical trials (Physician) - <65 years old (Patient)

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Video games
See arm description

Locations

Country Name City State
United States University of Pittsburgh Pittsburgh Pennsylvania

Sponsors (2)

Lead Sponsor Collaborator
University of Pittsburgh National Library of Medicine (NLM)

Country where clinical trial is conducted

United States, 

References & Publications (2)

Mohan D, Farris C, Fischhoff B, Rosengart MR, Angus DC, Yealy DM, Wallace DJ, Barnato AE. Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. BMJ. 2017 Dec 12;359:j5416. doi: 10.1136/bmj.j5416. — View Citation

Mohan D, Fischhoff B, Angus DC, Rosengart MR, Wallace DJ, Yealy DM, Farris C, Chang CH, Kerti S, Barnato AE. Serious games may improve physician heuristics in trauma triage. Proc Natl Acad Sci U S A. 2018 Sep 11;115(37):9204-9209. doi: 10.1073/pnas.1805450115. Epub 2018 Aug 27. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Number of patients triaged to trauma centers The investigators will use Medicare claims to measure the number of patients, treated by study participants, who present initially to non-trauma centers after a moderate-severe injury and are transferred to a Level I/II trauma center during that episode of care. They will compare triage patterns for patients treated by physicians in the intervention and in the control groups. 1 year following the intervention
Secondary Number of moderate-severely injured patients who die 30-days after initial evaluation Patient mortality 30-days after evaluation for a moderate-severe injury by a physician enrolled in the trial, compared among intervention and control groups. 1 year following the intervention
Secondary Frequency of resources used for patients with moderate-severe injuries treated by participants Frequency of resources used (e.g. ICU admission, mechanical ventilation, disposition status) after initial presentation for a moderate-severe injury and treatment by a participating physician, compared among intervention and control groups. 1 year following intervention
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