The Feasibility of Pertussis Immunization in a Canadian Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 644
- 试验地点
- 2
- 主要终点
- Rate of immunization
研究概览
简要总结
Randomized controlled trial of 2 strategies to provide adults with the Tdap vaccine to patients presenting to the emergency department. Rates of vaccination as well as effects on department efficiency will be measured.
详细描述
This study is a prospective randomized, controlled trial of two strategies to provide patients with the pertussis vaccine. Eligible adult patients with be offered pertussis vaccination in the Emergency Department vs. a referral to Public Health for pertussis vaccination. The effect of both strategies on triage time as well as measure of emergency department efficiency including length of stay, time to physician and left without being seen rates will be compared. At a four-month follow up, rates of pertussis vaccination will be measured.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adults age 18 and above
- •Have not received Tdap vaccine as an adult (age 18 and above) or have not received Tdap vaccine within 10 years, or unsure of vaccination status
排除标准
- •Acute significant illness (Canadian Triage and Acuity Scale = 1)
- •Deemed "in too much distress" by triage nurse
- •Acute Febrile illness
- •Allergy to vaccine or vaccine components
- •Pts presenting for wound care (are normally given the vaccine as part of wound care)
- •Pregnancy < 26 weeks
研究组 & 干预措施
Emergency Department vaccination group
Pertussis (Tdap) vaccine offered/administered in the Emergency Department
干预措施: Tdap (Behavioral)
Public Health referral group
Public Health referral for Pertussis (Tdap) vaccine administration offered
干预措施: Tdap (Behavioral)
结局指标
主要结局
Rate of immunization
时间窗: One day
Rate of patients receiving Tdap vaccine
次要结局
- Triage time(One day)
- Length of Stay(One day)
- Left with out being seen rate(One day)
- Patient refusals(One day)
- Additional vaccine received(One day)
- Time to physician(One day)
- Nursing satisfaction(One day)