Is Self-triage by Patients Using a Symptom-checker Safe?

Not Applicable

Completed

• Conditions: Triage

• Registration Number: NCT04055298
• Lead Sponsor: Andreas Meer

Brief Summary

This is a prospective, non-randomized, no placebo-controlled interventional study.

The study aims to assess the safety of the web-based symptom checker SMASS-Triage and its tolerability in terms of incidence of under-triaged self-assessments and the potential risk to be life-threatening or harmful.

The patient's self-triage using a symptom checker will be compared with the urgency assessments conducted sequentially by three interdisciplinary panels of physicians (panel A, B and C). The risk assessments will be based on the structured reports generated by the symptom checker and the discharge summaries of the WIC/ED.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2019-08-10
• Study First Submitted QC: 2019-08-12
• Study First Posted: 2019-08-13
• Study Start: 2019-11-21
• Primary Completion: 2020-05-01
• Study Completion: 2022-12-31
• Status Verified: 2023-02
• Last Update Submitted: 2023-02-28
• Last Update Posted: 2023-03-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 2500

Inclusion Criteria

• All German-, French-, Italian-, English-speaking patients attending the WIC/ED are eligible.
• Informed Consent as documented by signature ( Informed Consent Form)
• Age 18-years and older
• Capable of judgment
• Not under tutelage

Exclusion Criteria

• Patients with an Emergency Severity Index 1
• Leading complaint of the patient can't be found and assessed with the symptom checker
• Patients not being able to use a tablet-computer
• Patients not speaking German, French, Italian or English
• Minors under the age of 7-years
• Patients incapable of judgment
• Participants under tutelage
• Known or suspected non-compliance, drug or alcohol abuse,
• Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Proportion of self-triage assessed to be a hazardous under-triage	Baseline	The primary endpoint will be the proportion of self-triage and the according confidence interval assessed by the physicians to be a hazardous under-triage.

Secondary Outcome Measures

Name	Time	Method
Proportion of self-triage with an over- or under-triage	Baseline	Secondary endpoints will be the proportion of self-triage with an over- or under-triaged self-assessment.

Trial Locations

Locations (1)

Cantonal Hospital Baden; 🇨🇭 Baden, Aarau, Switzerland