Triage - Symptoms and Other Predictors in an All-comer Emergency Department Population; (EKBB 236/13)
NCT ID: NCT03892551
Last Updated: 2022-05-25
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
7309 participants
OBSERVATIONAL
2019-03-18
2020-11-30
Brief Summary
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Detailed Description
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This study is to develop a tool capable of improved risk prediction regarding the 30-day mortality. Based on vital signs, impaired mobility on presentation (IMOP), Clinical Frailty Scale (CFS) and patients' symptomatology three risk categories (low, intermediate, high risk) will be established.
According to acuity patients undergo triage or directly proceed to the treatment unit. Patients awaiting triage will be approached by a member of the study personnel and will be verbally informed about the study. Afterwards, patients will be interviewed asking about their symptoms and their reason for presentation. Patients in need of immediate therapy will receive therapy before start of the interview. Following the interview, patients undergo routine triage.The physician performing initial triage will be asked to rate how ill patients appear to be using a numeric scale ranging from 0 (perfect condition) to 10 (extremely ill). Treating physician's will be asked to state their suspected diagnosis as well as differential diagnoses. Follow-up to assess 30-day and 1-year mortality rate and date of death will start one year after the end of the inclusion period.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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patients admitted to emergency ward
all patients admitted to the emergency ward and awaiting triage are observed
Assessment of symptoms patients presenting when admitted to ED
Questionnaire with a predefined list of 35 symptoms
Reason for patient presentation at ED
Exploratory interview assessing reason for patient presentation at ED
physicians rating of severity of illness
numeric scale ranging from 0 (perfect condition) to 10 (extremely ill)
Assessment of vital signs
Assessment of vital signs (heart rate, blood pressure, body temperature, respiration rate, peripheral capillary haemoglobin oxygen saturation)
Clinical Frailty Scale
Assessment of frailty by Clinical Frailty Scale (CFS): assess patients' frailty level from 1, very fit, to 9, terminally ill
Impaired mobility on presentation (IMOP)
Assessment of IMOP: defined as being unable to stand unaided or walk without help
Assessment of suspected diagnosis and differential diagnoses
Assessment of treating physician's suspected diagnosis and differential diagnoses. Answers will be recorded in free text form.
Interventions
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Assessment of symptoms patients presenting when admitted to ED
Questionnaire with a predefined list of 35 symptoms
Reason for patient presentation at ED
Exploratory interview assessing reason for patient presentation at ED
physicians rating of severity of illness
numeric scale ranging from 0 (perfect condition) to 10 (extremely ill)
Assessment of vital signs
Assessment of vital signs (heart rate, blood pressure, body temperature, respiration rate, peripheral capillary haemoglobin oxygen saturation)
Clinical Frailty Scale
Assessment of frailty by Clinical Frailty Scale (CFS): assess patients' frailty level from 1, very fit, to 9, terminally ill
Impaired mobility on presentation (IMOP)
Assessment of IMOP: defined as being unable to stand unaided or walk without help
Assessment of suspected diagnosis and differential diagnoses
Assessment of treating physician's suspected diagnosis and differential diagnoses. Answers will be recorded in free text form.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* insufficient ability to communicate with the study personnel.
18 Years
ALL
No
Sponsors
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University Hospital, Basel, Switzerland
OTHER
Responsible Party
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Principal Investigators
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Roland Bingisser, Prof. Dr.
Role: PRINCIPAL_INVESTIGATOR
Department of Emergency Medicine, University Hospital Basel
Locations
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Department of Emergency Medicine, University Hospital Basel
Basel, , Switzerland
Countries
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References
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Rueegg M, Nissen SK, Brabrand M, Kaeppeli T, Dreher T, Carpenter CR, Bingisser R, Nickel CH. The clinical frailty scale predicts 1-year mortality in emergency department patients aged 65 years and older. Acad Emerg Med. 2022 May;29(5):572-580. doi: 10.1111/acem.14460. Epub 2022 Apr 23.
Kaeppeli T, Rueegg M, Dreher-Hummel T, Brabrand M, Kabell-Nissen S, Carpenter CR, Bingisser R, Nickel CH. Validation of the Clinical Frailty Scale for Prediction of Thirty-Day Mortality in the Emergency Department. Ann Emerg Med. 2020 Sep;76(3):291-300. doi: 10.1016/j.annemergmed.2020.03.028. Epub 2020 Apr 24.
Other Identifiers
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PB_2019_00008; me19Bingisser
Identifier Type: -
Identifier Source: org_study_id
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