Referred vs Spontaneous Visits at Pediatric ER: an Outcome Study

July 9, 2018 updated by: University Hospital, Strasbourg, France

Coverage and Future of Children Referred by a Liberal Doctor's Letter to Pediatric Emergency in Strasbourg Teaching Hospital Compared With Children Who Are Coming by Themselves in 2017

Since 80's, admissions in Emergency medical services increase regularly. Children represents 30% of the patients in Emergency medical Service. Only 20% of admissions are hospitalized and only 3 % need emergency care. Consequences are team's exhaustion, a reduction of healthcare quality, a slowdown in emergency care.

Investigator decided to realize an epidemiologic prospective study in Emergency medical and surgical Pediatric Service in Strasbourg Teaching Hospital to compare coverage of children who are referred by a liberal doctor with children who are coming by themselves matched with age and complaint.

This study will analyze the relevance of complaints and decision-making factors for the liberal doctor to send children in Emergency Medical and Surgical Service. Investigator will talk about the importance of close collaboration between liberal doctor and hospital doctor, as well as patient's information about basic care service on nights and week-ends in order to decrease the number of emergency admission.

Study Overview

Status

Unknown

Conditions

Study Type

Observational

Enrollment (Anticipated)

100

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • France
      • Strasbourg, France, 67091
        • Recruiting
        • Service D'Urgences Medico Chirurgicales Pediatriques
        • Contact:
        • Contact:
        • Principal Investigator:
          • Dimitar TCHOMAKOV, MD
        • Sub-Investigator:
          • Marie NOUET, MD

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

1 day to 18 years (Child, Adult)

Accepts Healthy Volunteers

N/A

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

  • Any child attending the pediatric medical and surgical emergency department of Strasbourg University Hospital, accompanied by at least one of his parents.
  • Age of the patient: from birth to 18 years.
  • Patient sent by mail from a liberal doctor (general practitioner, liberal pediatrician, PMI, SOS doctor ...) for the first group.

Description

Inclusion Criteria:

  • Any child attending the pediatric medical and surgical emergency department of Strasbourg University Hospital, accompanied by at least one of his parents.
  • Age of the patient: from birth to 18 years.
  • Patient sent by mail from a liberal doctor (general practitioner, liberal pediatrician, PMI, SOS doctor ...) for the first group.
  • Or emergency consultant spontaneously for the second group.
  • Understanding and speaking French
  • Having agreed to participate in the study if it is old, or whose parents have agreed to participate in the study.

Exclusion Criteria:

  • Patient unaccompanied by one of his parents
  • Refusal to participate in the study.
  • Vital emergency or immediate care needed
  • Patient arriving at the emergency department at first alone with paramedics or the SMUR, then joined by his parents secondarily
  • Patients referred by a liberal doctor but without mail.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Cohort
  • Time Perspectives: Retrospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Retrospective study of hospitalization frequency
Time Frame: The period from January 1st, 2016 to December 31st, 2017 will be examined
The period from January 1st, 2016 to December 31st, 2017 will be examined

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University Hospital, Strasbourg, France

Investigators

  • Principal Investigator: Dimitar TCHOMAKOV, MD, University Hospital, Strasbourg, france

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 1, 2018

Primary Completion (Anticipated)

January 1, 2019

Study Completion (Anticipated)

January 1, 2019

Study Registration Dates

First Submitted

June 14, 2018

First Submitted That Met QC Criteria

July 6, 2018

First Posted (Actual)

July 9, 2018

Study Record Updates

Last Update Posted (Actual)

July 11, 2018

Last Update Submitted That Met QC Criteria

July 9, 2018

Last Verified

January 1, 2018

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 7008

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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