'Clinical decision support in children with fever'. Impact of clinical decision support on paediatric emergency care.
Completed
- Registration Number
- NL-OMON29670
- Lead Sponsor
- Erasmus Medical Center, Sophia Children's hospital
- Brief Summary
/A
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 500
Inclusion Criteria
Children aged 1 month - 16 years, visiting the paediatric emergency department of the ErasmusMC-Sophia with fever.
Exclusion Criteria
1. Fever with a clear focus of only rhinitis or otitis;
2. Children with chronic morbidity, like: cystic fibrosis; broncho-pulmonary dysplasia; nephrotic syndrome and renal insufficiency; psychomotor retardation (Gross Motor Function Classification Scale IV and V); short bowel syndrome; malignancy currently in treatment regimen; immune deficiency, neutropenia; using immunosuppression medication; haemodynamic unstable heart disease.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Patient outcome:<br /><br>1. Correct diagnosis (feverish children with serious bacterial infections);<br /><br>2. False positive errors (children without the target diagnosis incorrectly exposed to diagnostic tests);<br /> <br>3. False negative errors (children with the target diagnosis incorrectly refrained from diagnostic tests).
- Secondary Outcome Measures
Name Time Method Process outcome: <br /><br>1. Patient's consultation time spent at the emergency department;<br /><br>2. The number of diagnostic procedures (chest radiography, blood, urine and liquor tests and cultures);<br /><br>3. Treatment procedures (antibiotic prescriptions), number of hospitalizations; <br /><br>4. Follow up consultations within 1 week.<br><br /><br /><br>Costs: <br /><br>Costs of diagnostic tests at the emergency department visit, initiated treatment, hospitalization, costs of missed diagnosis and their adverse events, costs of emergency care nurses and physicians.