IDEntifying pAtients With Suspicion of Infection in the ED Who Have Low Disease Severity Using Midregional Proadrenomedullin (MR-proADM) - Pivotal Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Patients Presenting With Suspicion of Infection to the ED
- Sponsor
- Brahms AG
- Enrollment
- 463
- Locations
- 9
- Primary Endpoint
- Number of out-patients re-presenting to the ED
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Emergency departments (ED) are becoming increasingly over-crowded, with patients facing prolonged waiting times. Therefore, a safe and rapid assessment that identifies patients with low severity that could be treated as outpatients is essential for improving the workflow within the ED.
The rationale of this IDEAL+ study is to safely decrease the number of hospital admissions through identification of low risk patients with the biomarker MR-proADM. This will has already been tested in the IDEAL - pilot study and results should be confirmed with this IDEAL+ study.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Consecutive patients presenting to the ED with suspicion of infection
- •Age ≥18 years
- •Written Informed Consent obtained
Exclusion Criteria
- •Patients with SARS-COV-2 infection
- •Recent major trauma or surgery
- •End stage renal failure requiring dialysis
- •Terminal disease and/or very severe medical co-morbidity where death has to be expected in the next 6 months, e.g. due to malignancy, cardiac, renal or hepatic failure
- •Patients whose source of infection always requires hospital admission or never requires hospital admission.
- •Patients who cannot be discharged for other than medical reasons
- •Patient participates in any other interventional clinical trial
- •Patients with active abusive drug use
- •Pregnant or lactating women
- •Patients who are institutionalized by official or judicial order
Outcomes
Primary Outcomes
Number of out-patients re-presenting to the ED
Time Frame: 5 days
Number of out-patients re-presenting to the ED