Impact of Biological Point of Care Devices Implementation on the Length of Stay of Patients in Emergency Room

NCT03840564 | Completed

• 1 other identifier: NI16022HLJ
• Study Type: observational
• Target: 20,000
• Locations: 1 country
• Sites: 1

Brief Summary

"Main objective: to demonstrate that the implementation of an extended panel solution for the point of care analysis of biological parameters (point of care : POC) in an emergency department (ED) reduces the length of stay (LOS) of patients Secondary objectives: to demonstrate the feasibility of implementing an expanded panel of POC solutions in an ED and the reduction of emergency overcrowding in the POC group. To determine the medico-economic impact of the extended implementation of POC solutions (cost-efficiency and health-economic study), to collect the satisfaction of medical (emergency physicians, medical biologists) and paramedical personnel as well as the satisfaction of patients. Inclusion criteria: Any patient consulting in the emergency department during the study period Non-inclusion criteria: Patients attending the emergency departments as part of dressing or trauma follow-up consultations Main criteria of judgment: Time between administrative registration and the patient's discharge or hospitalization decision, compared between the control period and the intervention period (POC). Design: Prospective, monocentric, controlled, cluster- randomized per week. Duration of center preparation (technical preparation and training of laboratory staff): 4 weeks Duration of inclusion period: 18 weeks Duration of patient participation: 1 day Total trial duration time: 22 weeks"

Conditions

Emergencies; Care

Outcome Measures

Primary Outcomes (1)

• length of stay (LOS) of patients consulting the ED

  length of stay (LOS) of patients consulting the ED For each patient the time frame of LOS is comprised between the admission schedule in the ED and the schedule of medical conclusion on the medical file of each patient consulting the emergency department

  1 Week

Secondary Outcomes (6)

• Incidence and duration of technical adverse events encountered with the POC platform

  through study completion (18 weeks)

• ED's crowding

  1 Week, i.e. the size of one cluster period of observation

• The time to results in each period and by biological parameter

  1 Week, i.e. the size of one cluster period of observation

• health-economic impact

  through study completion (18 Weeks)

• satisfaction of patients

  the last two weeks of the study: one week in the intervention period (POC) and one week in the control period (usual care)

Study Arms (2)

Group point of care (POC)

All the analyzes will be done in delocalized

Other: Point of care (POC)

control group

the analyzes will be done at the central laboratory

Interventions

Point of care (POC) OTHER

All the analyzes will be done in delocalized

Group point of care (POC)

Eligibility Criteria

• Age: 15 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Any patient consulting in the emergency department

You may qualify if:

• Any patient consulting in the emergency department during the study period

You may not qualify if:

• Patients attending the emergency departments as part of dressing or trauma follow-up consultations

Sponsors & Collaborators

• Assistance Publique - Hôpitaux de Paris: lead

Study Sites (1)

Pitié Salpetriere hospital

Paris, 75013, France

Location

Related Publications (1)

• Hausfater P, Hajage D, Bulsei J, Canavaggio P, Lafourcade A, Paquet AL, Arock M, Durand-Zaleski I, Riou B, Oueidat N. Impact of Point-of-care Testing on Length of Stay of Patients in the Emergency Department: A Cluster-randomized Controlled Study. Acad Emerg Med. 2020 Oct;27(10):974-983. doi: 10.1111/acem.14072. Epub 2020 Jul 27.

  PMID: 32621374 DERIVED

MeSH Terms

Conditions

Emergencies

Interventions

Point-of-Care Systems

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Hospital Information Systems; Hospital Administration; Health Facility Administration; Organization and Administration; Health Services Administration; Management Information Systems; Patient Care Management

Study Officials

• HAUSFATER Pierre, Pr, MD, PhD

  Pitie salpetriere hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 29, 2018
• First Posted: February 15, 2019
• Study Start: June 11, 2018
• Primary Completion: October 14, 2018
• Study Completion: December 21, 2018
• Last Updated: February 15, 2019

Record last verified: 2018-05

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)