Levels of Diagnostic and Therapeutic Intervention in Hospitalized Patients

Not Applicable

Not yet recruiting

• Conditions: Acute Disease
• Interventions: Other: Levels of Diagnostic and Therapeutic Intervention tool by Fontecha and col.; Other: Usual clinical practice

• Registration Number: NCT06315842
• Lead Sponsor: Consorci Sanitari de l'Alt Penedès i Garraf

Brief Summary

The objective of this clinical trial is to investigate the impact of implementing a tool for adjusting the level of diagnostic and therapeutic intensity in the clinical practice of physicians attending hospitalized patients.

The goal of this clinical trial is to investigate the impact of a tool for adjusting diagnostic and therapeutic intensity in hospitalized patients. The main question it aims to answer is: Is there a difference in patient mortality when using the aforementioned tool? The participating physicians will be grouped into 4 groups (5 physicians each). Each group will progressively (every 3 months) incorporate the use of the aforementioned tool into their usual clinical practice.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-03-05
• Study First Submitted QC: 2024-03-11
• Study First Posted: 2024-03-18
• Status Verified: 2025-02
• Last Update Submitted: 2025-02-10
• Last Update Posted: 2025-02-12
• Study Start: 2025-07
• Primary Completion: 2026-07
• Study Completion: 2026-07

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• Physician belonging to the non-surgical medical area.
• Routine clinical activity on a hospital ward caring for hospitalized patients.

Exclusion Criteria

• Physician belonging to the Oncology-Hematology/Palliative Care Hospitalization Unit.
• Refusal to participate in the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
Levels of Diagnostic and Therapeutic Intervention tool	Levels of Diagnostic and Therapeutic Intervention tool by Fontecha and col.	Medical doctors assigned to this group will incorporate a Levels of Diagnostic and Therapeutic Intervention tool into their clinical practice
Usual clinical practice	Usual clinical practice	Medical doctors assigned to this group will continue their clinical practice as usual

Primary Outcome Measures

Name	Time	Method
In-hospital Patient Mortality at 90 days from hospital discharge	90 days from hospital discharge	Percentage of patients who die during hospitalization until 90 days from hospital discharge.

Secondary Outcome Measures

Name	Time	Method
In-hospital Patient Mortality at 1 year from hospital discharge	1 year from hospital discharge	Percentage of patients who die during hospitalization until 1 year from hospital discharge.
Healthcare expenditure	through study completion, an average of 1.5 years	Descriptive analysis of healthcare expenditure associated with each intervention, using the billing data from the center.
Patients admitted to the Intensive Care Unit (ICU)	hospital discharge, assessed up to day 90	Percentage of patients admitted to the ICU during hospitalization
Pressure Ulcer Incidence	hospital discharge, assessed up to day 90	Percentage of patients with pressure ulcer occurrence during hospital admission (pressure ulcers already present at the time of admission will not be considered).
Hospital stay	hospital discharge, assessed up to day 90	Hospital stay in days
Calls to the "on-call doctor"	hospital discharge, assessed up to day 90	Number of calls to the "on-call doctor" during hospital admission
In-hospital Patient Mortality at 6 months from hospital discharge	6 months from hospital discharge	Percentage of patients who die during hospitalization until 6 months from hospital discharge.
Hospital readmission for any reason	30 days from hospital discharge	Percentage of patients readmitted for any reason within 30 days of hospital discharge.
Hospital readmission for same reason	30 days from hospital discharge	Percentage of patients readmitted for the same reason within 30 days of hospital discharge.
Mortality at ICU	hospital discharge, assessed up to day 90	Percentage of patients admitted to the ICU
Delirium Incidence	hospital discharge, assessed up to day 90	Percentage of patients with delirium occurrence during hospital admission (delirium already present at the time of admission will not be considered). Delirium will be evaluated through Confusion Assessment Method (CAM)

Trial Locations

Locations (1)

Consorci Sanitari Alt Penedes i Garraf; 🇪🇸 Vilafranca Del Penedès, Barcelona, Spain