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EPICS-8: Reasons for Emergency Department Utilization by Patients With Non-urgent Conditions

Conditions
Non-urgent Emergencies
Registration Number
NCT03036969
Lead Sponsor
Charite University, Berlin, Germany
Brief Summary

EPICS-8: Reasons for Emergency Department utilization by patients with non-urgent conditions:

Emergency Departments (EDs) are an important interface between primary and secondary health care sectors in Germany. The number of outpatient visits in the ED´s is still increasing. The reasons for ED utilization by patients with non-urgent conditions are nearly unknown in Germany and will be investigated in this project.

Detailed Description

EPICS-8: Reasons for Emergency Department utilization by patients with non-urgent conditions:

Emergency Departments (EDs) are an important interface between primary and the secondary health care system in Germany. The number of outpatient visits in the ED´s is still increasing. The reasons for ED utilization by patients with non-urgent conditions are nearly unknown in Germany and will be explored in this project.

EPICS-8 is a pilot study to establish a research structure for the linkage of ED-data with data of the primary health care sector. Data linkage will be conducted for patients with the Manchester Triage System categories blue, green and yellow. A secondary aim of the EPICS-8 study is to develop a valid questionnaire for the assessment of reasons for ED utilization by non-urgent patients.

Primary objective:

Establishing of a research structure for the linkage of inhospital-data with data from the primary health care System. Records of 5,000 patients who attended one of the two EDs at the Charité University Medicine Berlin will be linked to Primary health care data.

Secondary objectives:

1. Development and testing of a questionaire for the identification of reasons for emergency department utilization by patients with non-urgent conditions (n=100)

2. Characterization and quantification of non-urgent emergencies

3. Explorative analysis of patient pathways and influencing factors for ED-visits with non-urgent conditions.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
5000
Inclusion Criteria
  • Age>= 18 years
  • Outpatients
  • MTS-Triage category blue, green or yellow
  • Treatment in one of the two participating EDs
  • Eligibility to understand the study purposes and give written informed consent
Exclusion Criteria
  • Dementia
  • no sufficient German language skills
  • patients with legal representatives

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Number of patients with linkable records05/2016 - 05/2018

The Primary outcome will be the proportion of patients with successful record linkage.

Secondary Outcome Measures
NameTimeMethod
Demographic characteristics of non-urgent ED patientsDuring the study period

Descriptive analysis of demographic characteristics of ED patients with non-urgent conditions

Influencing factors for ED-Visits10/2017 - 05/2018

Explorative analysis of influencing factors for ED-visits with non-urgent conditions

Patient pathways for ED-Visits10/2017 - 05/2018

Explorative analysis of patient pathways for ED-visits with non-urgent conditions

Valid Questionnaire05/2016 - 05/2017

A patients questionnaire for the assessment of Emergency Department utilization by non-urgent patients will be developed. The outcome of this work package will be a valid patient questionnaire.

Clinical characteristics of non-urgent ED patientsDuring the study period

Descriptive analysis of clinical characteristics of ED patients with non-urgent conditions

Trial Locations

Locations (1)

Charité Universitätsmedizin - Berlin

🇩🇪

Berlin, Germany

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