n-Necessary Tests in Emergency Departments (UNTIE), a Stepped-wedge Cluster Randomised Trial

Not Applicable

• Conditions: Trauma; Abdominal pain severe; Back pain atraumatic (requiring admission); Cellulitis (requiring admission); Chest pain; Snake bite; Confusion; Cerebrovascular accident; Diabetic Ketoacidosis; Fever for investigation

• Registration Number: ACTRN12623001130651
• Lead Sponsor: Western Sydney Local Health District

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2023-11-02
• Last Update Posted: 6 November 2023

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 100000

Inclusion Criteria

All consecutive visits at the four Western Sydney Local Health District ED’s and Nepean Hospital over each time period, where the patient presentation maps to one of the 35 presenting problems covered in the guideline.
- Abdominal pain severe (upper/epigastric)
- Abdominal pain severe (lower)
- Back pain atraumatic
- Cellulitis
- Chest pain suspected IHD
- Chest pain - suspected PE
- Confusion
- Syncope
- Stroke
- Diabetic Ketoacidosis
- Fever of unknown cause
- Fever in returned traveler
- Fractures neck of femur or other major long bone
- Fractures requiring theater
- Gastrointestinal bleeding
- Jaundice for investigation
- Liver disease
- Oncology patients (febrile neutropenia)
- Overdose
- Per vaginal bleeding in 1st trimester
- Pneumonia
- Pyelonephritis
- Renal colic
- Renal disease
- Seizures (1st episode)
- Seizures (recurrent)
- Septic joint
- Sepsis
- Snake bite
- Shortness of breath (asthma)
- Shortness of breath (suspected acute pulmonary oedema)
- Shortness of breath (suspected chronic obstructive airways disease)
- Trauma (major)
- Trauma (minor)
- Warfarin therapy

Exclusion Criteria

Not attending emergency department
Presenting with a diagnosis beyond the 35 mapped presentations

Study & Design

• Study Type: Interventional
• Study Design: Not specified