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Recognition of critical illness at the Emergency Department

Recruiting
Conditions
Critical illness
Registration Number
NL-OMON26360
Lead Sponsor
one
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
800
Inclusion Criteria

Patients brought to the Emergency Department by ambulance aged 18 years and older

Exclusion Criteria

Interhospital transfers

Study & Design

Study Type
Observational non invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome is the performance of clinical judgement and EWS in predicting critical illness. Critical illness is defined as: cardiac arrests, (unpredicted) ICU admission (within 72h after ED presentation). Performance of clinical judgement and EWS will be retrospectively compared with patient’s outcome.
Secondary Outcome Measures
NameTimeMethod
a.To what extend can nurses and clinicians predict whether the patient need admission to the ward/ICU or can be discharged home after ED presentation, according to their clinical impression after ambulance handover. <br>b.To what extend can patients predict their severity of illness and the need for hospital admission. <br>c.Does the patient’s self-assessment of deterioration within the first 24 hours after admission adequately predict 28 days mortality. <br>d.Is the clinical frailty scale an adequate predictor of 28 day mortality.<br>e. In what extend can medical personnel predict 28 day mortality.<br>
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