Reasons for Recourse and Diagnoses Associated With Early Recourse to an Emergency Structure After Initial Treatment

Recruiting

• Conditions: Urgent Care Centers

• Registration Number: NCT06194253
• Lead Sponsor: University Hospital, Strasbourg, France

Brief Summary

To date, studies have been carried out on emergency department revisits but most are studies carried out in Anglo-Saxon territories. The studies carried out in France, for their part, concern the elderly geriatric population, or populations with specific pathologies such as child psychiatrists or patients with acute heart failure, but not the general adult population. Nevertheless, these studies have shown that knowledge of the risk factors for early readmission of a patient makes it possible to carry out targeted prevention actions in order to reduce this early recourse rate.

However, in a context of increasing emergency flow and increasing tension in the field with limited healthcare resources, returning home and outpatient care are increasingly favored. However, these strategies only make sense if outpatient follow-up is organized when early reconsultation is possible for certain indications that remain to be determined. In this context, it would be interesting to have information on the reasons for which patients return to the emergency room early after initial treatment. This would indeed make it possible to consider carrying out preventive actions in the long term in order to reduce this revisit rate on the one hand and on the other hand to identify the signs of seriousness which should bring the patient back to the emergency room as soon as possible.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-07-10
• Status Verified: 2023-12
• Study First Submitted: 2023-12-15
• Study First Submitted QC: 2024-01-05
• Last Update Submitted: 2024-01-05
• Study First Posted: 2024-01-08
• Last Update Posted: 2024-01-08
• Primary Completion: 2025-07
• Study Completion: 2025-07

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 500000

Inclusion Criteria

• Major subject (≥18 years old)
• Subject treated in the emergency room of the NHC or Hautepierre and having consulted the emergency room of one of the two sites 7 days after their first visit for an identical reason for recourse between January 1, 2017 to January 31, 2023.
• Patient who has not expressed his opposition to the reuse of his data for scientific research purposes.

Exclusion Criteria

• Patient having expressed his opposition to the retrospective reuse of his data

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Retrospective description of the most frequent reasons for recourse for which patients benefit from a new emergency consultation for the same reason within 7 days.	up to 7 days	The aim of the study is to have information on the reasons for which patients return to the emergency room early after initial treatment. This would indeed make it possible to consider carrying out preventive actions in the long term in order to reduce this revisit rate on the one hand and on the other hand to identify the signs of seriousness which should bring the patient back to the emergency room as soon as possible.

Trial Locations

Locations (1)

Service d'Accueil des Urgences - CHU de Strasbourg - France; 🇫🇷 Strasbourg, France