Effect of Teledermatology on Length of Hospital Admission, Length of Stay, 30 Day Readmission Rate, and Antibiotic Use in Patients Presenting With Cellulitis vs Pseudocellulitis in an Academic ED Setting
2018年4月3日 更新者:Benjamin Kaffenberger、Ohio State University
The Effect of Teledermatology on Length of Hospital Admission, Length of Stay, 30 Day Readmission Rate, and Antibiotic Use in Patients Presenting With Cellulitis vs Pseudocellulitis in an Academic Emergency Department Setting.
The effect of teledermatology on length of hospital admission, length of stay, 30 day readmission rate, and antibiotic use in patients presenting with cellulitis vs pseudocellulitis in an academic emergency department setting.
研究概览
详细说明
The Investigator hope to determine if the implementation of teledermatology in the emergency department (ED) at The Ohio State University Wexner Medical Center is beneficial in diagnosing cases of cellulitis and pseudocellulitis conditions.
Prior studies have indicated that misdiagnosis may occur in up to 28% of patients in the ED with these conditions.
Additionally, dermatological consults have been shown to change diagnosis or management of these conditions in more than 60% of the patients examined.
Without the use of teledermatology, however, a dermatological consult would be prohibitively expensive and take time to obtain.
The investigator proposes that by utilizing teledermatology in emergency rooms, the investigator can make faster, yet just as accurate, dermatological diagnoses in patients presenting with cellulitis-like symptoms.
Subsequently, by reducing the number of misdiagnoses, unnecessary use of antibiotics and hospitalizations will also decrease, lowering health care costs and simultaneously providing patients with faster treatment of the actual dermatologic condition.
研究类型
介入性
注册 (实际的)
30
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。
学习地点
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Ohio
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Columbus、Ohio、美国、43210
- The Ohio State University Wexner Medical Center
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参与标准
研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
是的
有资格学习的性别
全部
描述
Inclusion Criteria:
- Over 18
- Present to the ED with cellulitis-like symptoms, including but not limited to the following: tenderness, redness, swelling, expansive lesion
Exclusion Criteria:
- pregnant
- prisoner
学习计划
本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。
研究是如何设计的?
设计细节
- 主要用途:支持治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:双倍的
武器和干预
参与者组/臂 |
干预/治疗 |
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其他:Teledermatology consult
To determine the benefit of teledermatology to differentiate cellulitis from pseudocellulitis in emergency departments through the analysis of time spent in the emergency department (ED), admission to the inpatient hospital, antibiotic use, time to improvement, and 30-day remission rate.
This arm will undergo imaging, a dermatologic assessment will be performed, AND this assessment will be entered into the patients chart.
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Information from the dermatologic assessment will be entered into the patients chart.
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其他:Routine Care
To determine the benefit of teledermatology to differentiate cellulitis from pseudocellulitis in emergency departments through the analysis of time spent in the emergency department (ED), admission to the inpatient hospital, antibiotic use, time to improvement, and 30-day remission rate.
This arm will undergo imaging, a dermatologic assessment will be performed, AND this assessment WILL NOT be entered into the patients chart
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The dermatologic assessment will occur but not added to the patients medical record.
Dermatology may still be consulted but will be at the prerogative of the treating hospitalist.
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Admission to the hospital
大体时间:30 days
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To determine the benefit of teledermatology to differentiate cellulitis from pseudocellulitis in emergency departments through the analysis of time spent in the emergency department (ED), admission to the inpatient hospital, antibiotic use, time to improvement, We anticipate a high rate of pseudocellulitis, and this aim will determine if there is a difference in patient admissions among those who receive a dermatologic assessment
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30 days
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Length of stay in the hospital
大体时间:30 days post admission
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Will assess time spent in the hospital for those that were admitted
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30 days post admission
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30 day readmission rate
大体时间:30 days post admission
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Will assess hospitalization/emergency department readmission in the following 30 days
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30 days post admission
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Antibiotic use
大体时间:30 days post admission
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Will assess the frequency of antibiotic use between groups
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30 days post admission
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2016年1月1日
初级完成 (实际的)
2018年1月1日
研究完成 (实际的)
2018年1月1日
研究注册日期
首次提交
2016年6月4日
首先提交符合 QC 标准的
2017年1月26日
首次发布 (估计)
2017年1月30日
研究记录更新
最后更新发布 (实际的)
2018年4月5日
上次提交的符合 QC 标准的更新
2018年4月3日
最后验证
2018年4月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.
teledermatology consult的临床试验
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University of Massachusetts, WorcesterNational Institute on Minority Health and Health Disparities (NIMHD)主动,不招人