Levels of Diagnostic and Therapeutic Intervention in Hospitalized Patients. Cluster-Randomized and Stepped-Wedge Clinical Trial
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Acute Disease
- Sponsor
- Consorci Sanitari de l'Alt Penedès i Garraf
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- In-hospital Patient Mortality at 90 days from hospital discharge
- Status
- Not Yet Recruiting
- Last Updated
- 4 months ago
Overview
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.
Investigators
Eligibility Criteria
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.
Outcomes
Primary Outcomes
In-hospital Patient Mortality at 90 days from hospital discharge
Time Frame: 90 days from hospital discharge
Percentage of patients who die during hospitalization until 90 days from hospital discharge.
Secondary Outcomes
- Patients admitted to the Intensive Care Unit (ICU)(hospital discharge, assessed up to day 90)
- In-hospital Patient Mortality at 1 year from hospital discharge(1 year from hospital discharge)
- Pressure Ulcer Incidence(hospital discharge, assessed up to day 90)
- Hospital stay(hospital discharge, assessed up to day 90)
- Calls to the "on-call doctor"(hospital discharge, assessed up to day 90)
- In-hospital Patient Mortality at 6 months from hospital discharge(6 months from hospital discharge)
- Hospital readmission for any reason(30 days from hospital discharge)
- Hospital readmission for same reason(30 days from hospital discharge)
- Healthcare expenditure(through study completion, an average of 1.5 years)
- Mortality at ICU(hospital discharge, assessed up to day 90)
- Delirium Incidence(hospital discharge, assessed up to day 90)