Pediatric Patients Who Leave the Emergency Department Without Treatment

NCT07134985 | Recruiting

• 1 other identifier: HYMC-0019-22-IL
• Study Type: observational
• Target: 33,000
• Locations: 1 country
• Sites: 1

Brief Summary

Research Objectives: To examine the clinical, operational, and demographic characteristics that influence the decision of patients to voluntarily leave the pediatric emergency department at Hillel Yaffe Medical Center before completing the evaluation or medical treatment.

Conditions

Leaving Without Being Seen or Treated

Keywords

Left Without Being Seen or Treated

Outcome Measures

Primary Outcomes (1)

• Descreption of the population

  Descreption of the population of those who left without treatment in epidemiological terms.

  1 year

Study Arms (2)

Left Without Being Seen or Treated

The patients who left without being seen or treated

Other: No intervention

Discharged After Being Seen or Treated

The patients who were discharged after being seen or treated

Other: No intervention

Interventions

No intervention OTHER

No intervention

Discharged After Being Seen or Treated; Left Without Being Seen or Treated

Eligibility Criteria

• Age: Up to 17 Years
• Sex: all
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Children aged 0-17 who arrived at the pediatric emergency department between January 2024 and December 2025.

You may qualify if:

• Children aged 0-17 who arrived at the pediatric emergency department between January 2024 and December 2025.

You may not qualify if:

• None

Sponsors & Collaborators

• Hillel Yaffe Medical Center: lead

Study Sites (1)

Hillel Yaffe medical center

Hadera, 38100, Israel

RECRUITING

Related Publications (5)

• Gorski JK, Arnold TS, Usiak H, Showalter CD. Crowding is the strongest predictor of left without being seen risk in a pediatric emergency department. Am J Emerg Med. 2021 Oct;48:73-78. doi: 10.1016/j.ajem.2021.04.005. Epub 2021 Apr 3.

  PMID: 33845424 BACKGROUND

• Kappy B, McKinley K, Chamberlain J, Badolato GM, Podolsky RH, Bond G, Schultz TR, Isbey S. Leaving Without Being Seen From the Pediatric Emergency Department: A New Baseline. J Emerg Med. 2023 Sep;65(3):e237-e249. doi: 10.1016/j.jemermed.2023.05.019. Epub 2023 Jun 10.

  PMID: 37659902 BACKGROUND

• Taylor B, Young M. Pediatric ED departmental complexity: a different approach to the concept of ED crowding. CJEM. 2022 Apr;24(3):318-324. doi: 10.1007/s43678-022-00261-9. Epub 2022 Feb 11.

  PMID: 35146700 BACKGROUND

• Kennedy M, MacBean CE, Brand C, Sundararajan V, McD Taylor D. Review article: leaving the emergency department without being seen. Emerg Med Australas. 2008 Aug;20(4):306-13. doi: 10.1111/j.1742-6723.2008.01103.x.

  PMID: 18782204 BACKGROUND

• Bourgeois FT, Shannon MW, Stack AM. "Left without being seen": a national profile of children who leave the emergency department before evaluation. Ann Emerg Med. 2008 Dec;52(6):599-605. doi: 10.1016/j.annemergmed.2008.03.012. Epub 2008 May 1.

  PMID: 18450328 BACKGROUND

Study Officials

• Erez Nadir, MD

  Hillel Yaffe Medical Center

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Erez Nadir, MD

CONTACT

97247744375; erezn@hymc.gov.il

Adi Klein, MD

CONTACT

97247744331; vhelsinki@hymc.gov.il

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Pediatrician

Study Record Dates

• First Submitted: August 4, 2025
• First Posted: August 21, 2025
• Study Start: January 1, 2026
• Primary Completion (Estimated): December 1, 2026
• Study Completion (Estimated): December 1, 2027
• Last Updated: April 9, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

IL (1)