Creating a decision support tool to help paramedics decide if their patients need to go to hospital

Not Applicable

Completed

• Conditions: nselected (not selected by disease or demographic status) adult patients who called an ambulance and received a face-to-face response; Not Applicable

• Registration Number: ISRCTN12121281
• Lead Sponsor: Yorkshire Ambulance Service NHS Trust

Brief Summary

2021 Protocol article in https://doi.org/10.1186/s41512-021-00108-4 (added 19/05/2023)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2021-03-17
• Study Completion: 2022-03-31
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 409937

Inclusion Criteria

Cohort 1:
1. Age 18 years old or older
2. Transported to ED by Yorkshire Ambulance Service between 01/07/2019 and 29/02/2020
3. Have an ED Care record of the event
4. Assessed by a qualified ambulance clinician ((either paramedic (of any level) or technician grade II))
5. Had an electronic patient care record completed
6. Transported to an ED between 01/07/2019 and 29/02/2020
7. Were handed over and booked in as a patient to the ED

Cohort 2
1. Age 18 years or older
2. Assessed by a qualified ambulance clinician (either paramedic or technician grade II)
3. Had an electronic patient care record completed
4. Discharged on scene and not transported between 01/07/2019 and 29/02/2020

Exclusion Criteria

Cohort 1:
1. Patient cases where they were less than 18 years old at time of episode
2. Patient cases where they had five or more patient contacts within the data collection period

Cohort 2:
1. Patient cases where they were less than 18 years old at time of episode
2. Patient cases where they had five or more patient contacts within the data collection period
3. Patient cases that were transported by the ambulance crew on scene

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
An avoidable attendance at ED, defined as first attendance with some recorded treatments or investigations, all of which may have reasonably been provided in a non-emergency care setting, followed by discharge home or to GP care. Measured by combining elements of routinely collected ED clinical data once a patient is discharged from ED.

Secondary Outcome Measures

Name	Time	Method
There are no secondary outcome measures