Implementation of the Individual Danish Emergency Process Triage
NCT ID: NCT04571021
Last Updated: 2023-04-03
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
NA
250000 participants
INTERVENTIONAL
2020-10-01
2022-05-01
Brief Summary
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Detailed Description
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Currently, several different triage algorithms are used, and they are mostly based on consensus and exper- opinion. Therefore evidence concerning triage is limited.
The investigators has developed a novel evidence-based triage algorithm with integrated individual clinical assesment. The vitals measured at admission assigns the patient to a triage category, and based upon the clinical appearance of the patients, the triage nurse can adjust the assigned triage category to better reflect the patient. The triage algorithm used in Denmark is "DEPT", this algorithm is based purely on vitals and cause of admission and can not be adjusted.
I-DEPT is designed as a cluster randomized stepped-wedge non-inferiority study. The Aim is to implement and compare I-DEPT to the existing triage algorithm. All Emergency Departments in the Capitol Region and the Region og Zealand in Denmark will implement I-DEPT one department at a time (8 centers). The first will start the implementation on october 1, 2020 and after two months the next center will implement I-DEPT. Every two months a new center will start. During 16 months all centers will have implemented I-DEPT the sequence of centers was determined by randomization. The first 30 days of implementation will be censored and not included in the final analyses. The study will conclude with a period of 30 days follow-up. Patients will only be included once.
Conditions
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Study Design
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RANDOMIZED
SEQUENTIAL
PREVENTION
NONE
Study Groups
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I-DEPT
Novel triage. The triage nurse can adjust the triage category one level of urgency down or one or two levels up.
I-DEPT
Implementation of the novel triage algorithm
DEPT
Existing triage algorithm
DEPT
Existing triage algorithm
Interventions
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I-DEPT
Implementation of the novel triage algorithm
DEPT
Existing triage algorithm
Eligibility Criteria
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Inclusion Criteria
* Full triage assesment in the index admission
Exclusion Criteria
* Death at arrival or before triage assesment
17 Years
110 Years
ALL
No
Sponsors
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Hvidovre, Amager and Glostrup Hospital, Department of Emergency Medicine
UNKNOWN
Bispebjerg and Frederiksberg Hospital, Department of Emergency Medicine
UNKNOWN
Nykøbing Falster Hospital, Department of Emergency Medicine
UNKNOWN
Slagelse Hospital, Department of Emergency Medicine
UNKNOWN
Køge Hospital, Department of Emergency Medicine
UNKNOWN
Nordsjaellands Hospital
OTHER
Holbæk Hospital, Department of Emergency Medicine
UNKNOWN
Herlev Hospital
OTHER
Responsible Party
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Kasper Iversen
Professor
Principal Investigators
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Kasper K Iversen, Professor
Role: PRINCIPAL_INVESTIGATOR
Herlev and Gentofte Hospital
Locations
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Herlev and Gentofte hospital
Herlev, Capital Region, Denmark
Bispebjerg and Frederiksberg hospital
Copenhagen, , Denmark
Nordsjællands Hospital
Hillerød, , Denmark
Holbæk hospital
Holbæk, , Denmark
Hvidovre, Amager and Glostrup Hospital
Hvidovre, , Denmark
Sjælland University hospital
Køge, , Denmark
Nykøbing Falster Hospital
Nykøbing Falster, , Denmark
Slagelse Hospital
Slagelse, , Denmark
Countries
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Provided Documents
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Document Type: Statistical Analysis Plan
Other Identifiers
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568
Identifier Type: -
Identifier Source: org_study_id
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