Eligibility of Patients Referred to Emergency Departments by Their General Practitioners for Care in Walk-in Clinics: A Single-Center Study in Île-de-France

NCT ID: NCT07122869

Last Updated: 2025-08-14

Study Results

Results pending

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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Recruitment Status

RECRUITING

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-07-28

Study Completion Date

2025-08-30

Brief Summary

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This study aims to find out how many patients sent to the emergency department by their general practitioner could instead be treated in a walk-in clinic. Walk-in clinics provide quick, basic medical care without an appointment and can perform simple tests like blood work and X-rays. By identifying patients who don't need full hospital emergency care, this study hopes to improve patient flow and reduce overcrowding in emergency rooms in the Île-de-France region.

Detailed Description

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Conditions

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Emergency Service, Hospital Primary Health Care General Practitioners Walk-In Clinics Patient Admission Health Services Accessibility

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Age 18 years or older
* Patient referred to the emergency department (ED) with a letter from a general practitioner (GP)
* ED visit during the study hours (Monday to Friday, 9 a.m. to 8 p.m.)
* Consultation in the selected adult emergency service
* Medical or traumatic reason justifying the ED visit
* Patient stable at arrival and during ED care

Exclusion Criteria

* Patients under 18 years old (pediatric cases excluded)
* No referral letter or proof of GP referral
* ED visit outside study hours (weekends, nights)
* Patients requiring intensive hospital care defined by:
* Intravenous treatments (e.g., antibiotics, fluids)
* Heavy imaging exams (CT scan, MRI) during the visit
* Diagnoses with immediate life- or function-threatening conditions (e.g., myocardial infarction, stroke, severe infection)
* Hospitalization decided during or after ED visit
* Clinical instability at or during ED visit (abnormal vital signs, respiratory distress, etc.)
* Patients referred for non-medical reasons (social issues, lack of medical follow-up)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier de Gonesse

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Centre Hospitalier de Gonesse

Gonesse, France, France

Site Status RECRUITING

Countries

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France

Facility Contacts

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Mounir EL KASSOUANI

Role: primary

01.34.53.24.64

Other Identifiers

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0115_URGENCES

Identifier Type: -

Identifier Source: org_study_id

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