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临床试验/NCT07122869
NCT07122869招募中不适用

Eligibility of Patients Referred to Emergency Departments by Their General Practitioners for Care in Walk-in Clinics: A Single-Center Study in Île-de-France

Centre Hospitalier de Gonesse1 个研究点 分布在 1 个国家目标入组 80 人开始时间: 2025年7月28日最近更新:

试验速览

阶段
不适用
状态
招募中
发起方
入组人数
80
试验地点
1
主要终点
Proportion of Patients Referred by General Practitioners to the Emergency Department Who Could Have Been Managed in a Walk-in Clinic

研究概览

简要总结

This study aims to find out how many patients sent to the emergency department by their general practitioner could instead be treated in a walk-in clinic. Walk-in clinics provide quick, basic medical care without an appointment and can perform simple tests like blood work and X-rays. By identifying patients who don't need full hospital emergency care, this study hopes to improve patient flow and reduce overcrowding in emergency rooms in the Île-de-France region.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Retrospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age 18 years or older
  • Patient referred to the emergency department (ED) with a letter from a general practitioner (GP)
  • ED visit during the study hours (Monday to Friday, 9 a.m. to 8 p.m.)
  • Consultation in the selected adult emergency service
  • Medical or traumatic reason justifying the ED visit
  • Patient stable at arrival and during ED care

排除标准

  • Patients under 18 years old (pediatric cases excluded)
  • No referral letter or proof of GP referral
  • ED visit outside study hours (weekends, nights)
  • Patients requiring intensive hospital care defined by:
  • Intravenous treatments (e.g., antibiotics, fluids)
  • Heavy imaging exams (CT scan, MRI) during the visit
  • Diagnoses with immediate life- or function-threatening conditions (e.g., myocardial infarction, stroke, severe infection)
  • Hospitalization decided during or after ED visit
  • Clinical instability at or during ED visit (abnormal vital signs, respiratory distress, etc.)
  • Patients referred for non-medical reasons (social issues, lack of medical follow-up)

结局指标

主要结局

Proportion of Patients Referred by General Practitioners to the Emergency Department Who Could Have Been Managed in a Walk-in Clinic

时间窗: 30 min

次要结局

未报告次要终点

研究者

发起方
Centre Hospitalier de Gonesse
申办方类型
Other
责任方
Sponsor

研究点 (1)

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