Development and Validation of a Regional Multi-scale System in Ile-de-France for the Prediction of the Patient Flow in the Emergency Department and the Need for Hospitalization
试验速览
- 阶段
- 不适用
- 入组人数
- 18,000,000
- 试验地点
- 1
- 主要终点
- Prediction of emergency department visits
研究概览
简要总结
The main objective of this retrospective study is to validate a prediction system of emergencies department (ED) attendance on a wide range of time and the need for hospitalization, at various levels of perimeter (with all emergency departments or one ED in particular), with all patients or with one sub-group of patients (age, gravity, care).
详细描述
As secondary objectives, the study aims:
- to measure the influence of different factors as environmental or structural and to identify the modifiable factors, then to allow us to test by simulation, impact of various interventions (for example: opening of hospitals and reinforcement of ED teams) on arrival flows or regenerated tension inside ED teams.
- to study the relation between the flows (arrival patients, hospitalized patients) and the time of ED visit or the indicators of tension of ED team.
- Typology of ED in the region of Paris permitting afterward comparison the benchmarking type between similar structures.
This retrospective study will be performed on database: individual data in the region of Paris of summation of ED visits and data on the structures of health cares, as well as environmental data (principal given cares, weather, moves, circulations, pollution, strikes, vacations, etc.)
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All subjects have been recorded as patients in emergency departments between 2010 and 2015.
排除标准
- 未提供
结局指标
主要结局
Prediction of emergency department visits
时间窗: throughout the study, an average of 18 months
Calculated base on regional database: individual data of summation of ED visits in the region of Paris and structural data of health cares
次要结局
- Prediction by lever of gravity(throughout the study, an average of 18 months)
- Prediction by need of hospitalization or no(throughout the study, an average of 18 months)
- Relation between flow of patients and indicator of tension of team(throughout the study, an average of 18 months)
- Relation between flow of patients and time of ED visit(throughout the study, an average of 18 months)
- Prediction by age(throughout the study, an average of 18 months)
- Prediction by type of care(throughout the study, an average of 18 months)
- Typology of ED of the region of Paris(throughout the study, an average of 18 months)