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Internet Tools and Emergency Attendance

21. mars 2019 oppdatert av: University Hospital, Clermont-Ferrand

Impact of "Internet Tools" Consultation on Increasing Emergency Attendance

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.

Studieoversikt

Status

Ukjent

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

It is an observational study, monocentric, prospective. This study consists in collecting data from an anonymized questioner given to patients presenting themselves at the emergency department of Clermont-Ferrand University Hospital. Answers to the questions will not change the patient's management. The questioner, containing 17 questions, requires answering "yes" or "no" by ticking boxes, or even specify when it is stipulated. This questionnaire will be given to the patient after his registration, and filled by the latter in the waiting room, pending medical care. Answering the questionnaire will take between 5 to 10 minutes. The data is anonymous.

The patient arrives at the emergency department and registers at the entrance desks where a paper and computer file is created. Then, the Reception and Orientation Nurse takes care of the patient by welcoming him in the reception box, she realizes the taking of the hemodynamics constants, the collection of the reason of consultation with the grievances of the patient. During this phase, patient will be inform of the completion of this study and asked to participate in this study. If the patient agrees to participate, an anonymized questioner will be provided and explained by one of the investigating physicians or associated partners.

Studietype

Observasjonsmessig

Registrering (Forventet)

431

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Frankrike
      • Clermont-Ferrand, Frankrike, 63003
        • Rekruttering
        • CHU clermont-ferrand
        • Hovedetterforsker:
          • Farès Moustafa

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

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

Beskrivelse

Inclusion Criteria:

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

Exclusion Criteria:

  • 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.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Observasjonsmodeller: Kohort
  • Tidsperspektiver: Potensielle

Kohorter og intervensjoner

Gruppe / Kohort
Intervensjon / Behandling
patient in emergency department
Annen: emergency
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.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Rate of justified nature of the consultation between patient who did consult a website before the emergency room and those who didn't.
Tidsramme: at day 1

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

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Prevalence of Internet consultation among patients admitted to emergency room
Tidsramme: at day 1
The rate of consultation of a website before the emergency room, will be expressed as a percentage with its 95% confidence interval
at day 1
The rate of justified consultation
Tidsramme: at day 1
The rate of justified consultation to emergency department, will be expressed as a percentage with its 95% confidence interval.
at day 1
Risk factors related to consultation of a website medical information prior to the transition to adult emergencies.
Tidsramme: at day 1
The comparison between patients who visited a medical information website (vs those who did not consult the internet) before the emergency department visit will be done using the same methods as for the analysis of the main criterion.
at day 1

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

University Hospital, Clermont-Ferrand

Etterforskere

  • Hovedetterforsker: Fares MOUSTAFA, University Hospital, Clermont-Ferrand

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

21. mars 2019

Primær fullføring (Forventet)

1. mars 2020

Studiet fullført (Forventet)

1. mars 2020

Datoer for studieregistrering

Først innsendt

7. mars 2019

Først innsendt som oppfylte QC-kriteriene

18. mars 2019

Først lagt ut (Faktiske)

20. mars 2019

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

25. mars 2019

Siste oppdatering sendt inn som oppfylte QC-kriteriene

21. mars 2019

Sist bekreftet

1. mars 2019

Mer informasjon

Begreper knyttet til denne studien

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • CHU-431
  • 2019 / CE 06 (Annen identifikator: 2019 / CE 06)

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

produkt produsert i og eksportert fra USA

Nei

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