Internet Tools and Emergency Attendance

NCT03881839 | Unknown

• 2 other identifiers: CHU-4312019 / CE 06
• Study Type: observational
• Target: 431
• Locations: 1 country
• Sites: 1

Brief Summary

Over the years, there has been an increase in the flow of emergency rooms, which is gradually leading to an overcrowding of emergency unit. This overcrowding is multifactorial with, for example, a decrease in the outpatient care in family medicine and specialized medicine, emergency services unsuitable at the level of premises ... In parallel, investigator note in recent years facilitated access to internet and especially to GAFA which is the acronym for Google, Amazon, Facebook, Apple. As a result, patients have 24-hour access to medical information via websites, blogs and social networks. This information of, often, unreliable medical information can lead to ambiguity among patients about the need for urgent or delayed intervention in the management of their symptoms. In fact, "everything becomes urgent". To date, in France, no study has evaluated the impact and prevalence of consulting a website for medical purposes before consulting an emergency service. The objective of this research will be to assess, in patients presenting in an emergency department, the prior consultation of medical information on a website, the impact on the emergency consultation decision and the relevance of this consultation.

Conditions

Emergency

Outcome Measures

Primary Outcomes (1)

• Rate of justified nature of the consultation between patient who did consult a website before the emergency room and those who didn't.

  The comparison between the justification (or not) of the transition to adult emergencies and the consultation of an upstream website will be done using the Chi2 test (or Fisher's exact test if applicable). The search for criteria related to the justified nature of this emergency procedure will be done with the Chi2 test (or Fisher's exact test if applicable) for the categorical data and with the Student's test (or Mann and Whitney test if not normally distributed) for continuous data.

  at day 1

Secondary Outcomes (3)

• Prevalence of Internet consultation among patients admitted to emergency room

  at day 1

• The rate of justified consultation

  at day 1

• Risk factors related to consultation of a website medical information prior to the transition to adult emergencies.

  at day 1

Study Arms (1)

patient in emergency department

Other: emergency

Interventions

emergency OTHER

The objective of this research will be to assess, in patients presenting in an emergency department, the prior consultation of medical information on a website, the impact on the emergency consultation decision and the relevance of this consultation.

patient in emergency department

Eligibility Criteria

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

Study Population

Any major patient presenting to the emergency department by their personal way.

You may qualify if:

• Any major patient presenting to the emergency department by their personal way.

You may not qualify if:

• Suspicion of acute alcoholism
• dementia
• guardianship / trusteeship
• language barrier, non-communicating patient
• patient refusing to participate in the study
• patient with confusion
• patient with Glasgow scale less than 15
• patient not affiliated with social security
• patient not knowing how to read or write.

Sponsors & Collaborators

• University Hospital, Clermont-Ferrand: lead

Study Sites (1)

Chu Clermont-Ferrand

Clermont-Ferrand, 63003, France

RECRUITING

MeSH Terms

Conditions

Emergencies

Interventions

Emergency Service, Hospital

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Hospital Departments; Hospital Administration; Health Facility Administration; Health Facilities; Health Care Facilities Workforce and Services; Emergency Medical Services; Health Services; Organization and Administration; Health Services Administration

Study Officials

• Farès MOUSTAFA

  University Hospital, Clermont-Ferrand

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Lise LACLAUTRE

CONTACT

04 73 75 49 63; drci@chu-clermontferrand.fr

Study Design

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

Study Record Dates

• First Submitted: March 7, 2019
• First Posted: March 20, 2019
• Study Start: March 21, 2019
• Primary Completion: March 1, 2020
• Study Completion: March 1, 2020
• Last Updated: March 25, 2019

Record last verified: 2019-03

Locations

FR (1)