Comparison of 30-day Morbidity and Mortality in Cancer Patients Based on Emergency Department Location

Not yet recruiting

• Conditions: Cancer; Cancer Remission

• Registration Number: NCT06834646
• Lead Sponsor: Assistance Publique - Hôpitaux de Paris

Brief Summary

Patients being followed for cancer account for 2.8% of emergency admissions in France. An acute episode that triggers a visit to the emergency department may be related to the progression of the disease, or to complications of treatment. The management of these patients is often complex and requires a degree of expertise. Emergency departments specialising in the management of cancer complications have been set up, and now deal exclusively with patients treated at their centres. However, for geographical or logistical reasons, patients with cancer are likely to consult a non-specialist emergency department and/or one located outside the cancer care centre. In this case, the emergency doctor may not have access to the oncology file, and care in the emergency department and downstream services may be sub-optimal. Studies have shown a positive impact on the quality of care and prognosis of patients thanks to the cancer centre's expertise. However, the effect of the centre on a cancer patient who visits the emergency department has never been studied. This is particularly true if the emergency department where the patient is seen is located in the cancer follow-up centre.

The primary objective of the COVER study is to investigate the impact of the location of the emergency department where the patient is seen for their prognosis.

Detailed Description

Not available

Study Timeline

• Status Verified: 2025-02
• Study First Submitted: 2025-02-05
• Study First Submitted QC: 2025-02-13
• Last Update Submitted: 2025-02-13
• Study First Posted: 2025-02-19
• Last Update Posted: 2025-02-19
• Study Start: 2025-03
• Primary Completion: 2025-08
• Study Completion: 2025-08

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 2000

Inclusion Criteria

Patients aged 18 or over admitted to an emergency department with cancer that has been active or in remission for less than a year.

Exclusion Criteria

• Opposition to participate in the study

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Number of days alive spent outside the hospital	1 month

Secondary Outcome Measures

Name	Time	Method
Occurrence of a new/ unscheduled consultation	30 days
Length of hospitalisation	90 day
Unscheduled consultation or hospitalization emergency department discharge	7 days
Unexpected death	7 days
Secondary admission to the intensive care unit during the initial hospitalization following the emergency visit	7 days
Occurence of organ failure	7 days
Quality of life with QLQ-C30	90 days	QLQ-C30
Mortality	Day 90

Trial Locations

Locations (1)

Hôpital Pitié Salpêtrière Emergency department; 🇫🇷 Paris, France