COVID-NA: Changes in emergency department utilitzation during the COVID-19 pandemic

Recruiting

• Conditions: ALL ICD 10 DIAGNOSES CODED IN THE EMERGENCY ROOM; U07.1; COVID-19, virus identified

• Registration Number: DRKS00023117
• Lead Sponsor: Charité Universitätsmedizin BerlinNotfall- und Akutmedizin (CVK, CCM)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2020-09-21
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 1000000

Inclusion Criteria

Inclusion criteria COVID-NA1:
- Patient*in one of the participating emergency rooms during the study period: Calendar week 1-16 of the years 2019 and 2020

Inclusion criteria COVID-NA3:
- Patient*in the Charité emergency rooms (CCM/CVK)
- Emergency visit to one of the two locations between 01.01.2020 and 31.05.2020 or in the reference period 2019

Inclusion criteria COVID-NA3 - qualitative part:
- Staff of the emergency departments of Charité Universitätsmedizin Berlin, who were/are involved in the care of patients during the COVID-19 pandemic

Inclusion criteria COVID-NA4:
- Patients* with a negative Covid-19 test between 01.01.2020 and 19.04.2020
- sufficient German language skills
- Accessibility + auditory perception via telephone

Inclusion criteria COVID-NA5:
- adult patient* (=18 years)
- COVID-19 Suspicion at presentation in one of the participating emergency rooms based on the following criteria: Temperature = 38°C
- Respiratory symptoms (shortness of breath, coughing, sputum or other symptoms with suspected COVID-19, such as diarrhea, loss of sense of smell, etc.)

Inclusion Criteria COVID-NA6:
- Inpatient admission from the emergency department (avoid inclusion of patients who are transferred externally).
- Indication for SARS-CoV-2 testing as part of routine clinical practice (suspected and screening cases).

Exclusion Criteria

Exclusion criteria COVID-NA4:
- Patients* with dementia or other cognitive impairments
Specific exclusion criteria for telephone interviews
- insufficient German language skills or language disorders (aphasia, apraxia, ...)

COVID-NA6 exclusion criteria:
- A written SARS-CoV-2 PCR test result no more than 48 hours old (no verbally reported test results, no rapid Ag tests).
- Patients* with acute major trauma, stroke or myocardial infarction, or planned surgery, intervention, or urgent transfer for other reasons within six hours of admission.
- Expected prolonged inpatient stay > 14 days.

Study & Design

• Study Type: observational
• Study Design: Not specified