NCT05994196

Brief Summary

The goal of this randomized, controlled, open-label trial is to test the use of secondary prioritization software (Optimum®) in the pediatric emergency department (PED). The aim of this study is to determine:

  1. 1.whether the use of this secondary prioritization software (Optimum®) reduces the patients' median length of stay (LOS) in the PED
  2. 2.how this software is accepted by the staff. The PED staff will be asked to manage the patients according to the Optimum® software indications (intervention) or according to the standard dashboard (control).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,599

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2021

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 15, 2021

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 23, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 23, 2021

Completed
2.3 years until next milestone

First Submitted

Initial submission to the registry

July 31, 2023

Completed
16 days until next milestone

First Posted

Study publicly available on registry

August 16, 2023

Completed
Last Updated

August 16, 2023

Status Verified

August 1, 2023

Enrollment Period

1 month

First QC Date

July 31, 2023

Last Update Submit

August 8, 2023

Conditions

Length of Stay

Keywords

Patient flowPatient prioritizationPediatric Emergency DepartmentUsage assessment

Outcome Measures

Primary Outcomes (1)

  • Length of stay

    the length of stay for each patient

    from admission to discharge, assessed up to 1 day.

Secondary Outcomes (3)

  • Number of patients present

    1 day

  • Time intervals between each stage

    1 day

  • Pediatric emergency department staff satisfaction

    through study completion, an average of 3 months

Study Arms (2)

Optimum

EXPERIMENTAL

the secondary prioritization software of patients

Behavioral: Optimum, a secondary prioritization software of patients in the pediatric emergency department (ED)

Control

NO INTERVENTION

the standard dashboard of patients

Interventions

Optimum, a secondary prioritization software of patients in the pediatric emergency department (ED)BEHAVIORAL

Optimum®'s purpose is to remove the mental load of prioritization from the Pediatric ED staff. The software first prioritizes the triage of new patients by the ED staff and the first evaluation of a new patient by the medical team. Optimum® then prioritizes blood sample collections and care (for nurses) and checks on imaging results, blood test results or an evaluation by a specialist (for physicians). Lastly, Optimum® prioritizes the final step in patient management by a senior physician, when appropriate.

Optimum

Eligibility Criteria

Age3 Days - 16 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • All children admitted between 10:00 am and 0:00 am

You may not qualify if:

  • Patients who left without being seen
  • Patients subsequently admitted to the short-stay unit

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hôpital Roger Salengro, CHU

Lille, France

Location

Related Publications (4)

  • Schiro J, Marcilly R, Leroy N, Wawrzyniak C, Martinot A, Pelayo S. Design and evaluation of a patient website to reduce crowding in emergency departments: a preliminary study. Stud Health Technol Inform. 2015;210:663-5.

    PMID: 25991232BACKGROUND

  • Windal F, Jeribi K, Ficheur G, Degoul S, Martinot A, Beuscart R, Renard JM. Pediatric emergency department crowding: survival tree clustering for length of patient stay. Stud Health Technol Inform. 2014;205:1095-9.

    PMID: 25160358BACKGROUND

  • Gravel J, Fitzpatrick E, Gouin S, Millar K, Curtis S, Joubert G, Boutis K, Guimont C, Goldman RD, Dubrovsky AS, Porter R, Beer D, Doan Q, Osmond MH. Performance of the Canadian Triage and Acuity Scale for children: a multicenter database study. Ann Emerg Med. 2013 Jan;61(1):27-32.e3. doi: 10.1016/j.annemergmed.2012.05.024. Epub 2012 Jul 27.

    PMID: 22841173BACKGROUND

  • Lun T, Schiro J, Cailliau E, Tchokokam J, Liber M, de Jorna C, Martinot A, Dubos F. Randomized controlled open-label trial to evaluate prioritization software for the secondary triage of patients in the pediatric emergency department. Int J Emerg Med. 2024 Apr 8;17(1):53. doi: 10.1186/s12245-024-00623-3.

    PMID: 38589780DERIVED

Related Links

Study Officials

  • François Dubos, MD, PhD

    Lille University Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 31, 2023

First Posted

August 16, 2023

Study Start

March 15, 2021

Primary Completion

April 23, 2021

Study Completion

April 23, 2021

Last Updated

August 16, 2023

Record last verified: 2023-08

Data Sharing

IPD Sharing
Will not share

Locations

FR(1)