Use of Clinical Findings and Biomarker Levels Combined for Disposition of Patients With Non-specific Complaints Presenting to the Emergency Department (BANC IV)
Patients presenting to emergency departments (ED) with non-specific complaints (NSC) such as "not feeling well", "feeling weak", "being tired", "general deterioration" are a very common and well-known, but poorly studied patient group. The differential diagnosis of NSC is extremely broad ranging from insufficient home care to acute life-threatening conditions. Therefore, the evaluation and diagnostic work-up of these mostly elderly patients with NSC is very time-consuming and not straight-forward. Furthermore, the assessment is complicated by comorbidities, polypharmacy or an altered mental status. For this reason, potentially unnecessary diagnostic efforts are undertaken in order to exclude a serious underlying condition, leading to prolonged throughput times and ED observation unit stays.
On the other hand, the patients` condition might be underestimated by ED physicians, which may result in ineffective, delayed or inadequate disposition, as well as poor patient outcomes. BANC (formerly BAUCAS) is a series of clinical studies with the intention to investigate the usefulness of clinical findings and biomarker levels combined for disposition of patients with non-specific complaints presenting to the emergency department.
|Study Design:||Observational Model: Cohort
Time Perspective: Cross-Sectional
|Official Title:||BANC IV (BASEL NON - SPECIFIC COMPLAINTS IV) Use of Clinical Findings and Biomarker Levels Combined for Disposition of Patients With Non-specific Complaints Presenting to the Emergency Department|
- serious condition (potentially life-threatening or requiring early intervention to prevent health status deterioration) [ Time Frame: 30 days ] [ Designated as safety issue: No ]
- 30 day mortality [ Time Frame: 30 days ] [ Designated as safety issue: No ]
Biospecimen Retention: Samples Without DNA
whole blood (MR-proADM)
|Study Start Date:||July 2011|
|Estimated Primary Completion Date:||July 2012 (Final data collection date for primary outcome measure)|
|patients with non-specific complaints||
To compare the outcome of standard of care with an approach combining the standardized course and biomarker levels for the disposition of patients with non-specific complaints presenting to the emergency department (ED), in order to evaluate safety.
|Contact: Roland Bingisser, MD||41 - 61 265 ext 58 email@example.com|
|Contact: Christian H Nickel, MD||41-61-556 ext firstname.lastname@example.org|
|University Hospital Basel||Recruiting|
|Basel, Switzerland, 4031|
|Contact: Roland Bingisser, MD 41- 61 - 265 ext 58 30 RBingisser@uhbs.ch|
|Contact: Christian H Nickel, MD 41 - 61 - 556 ext 5315 CNickel@uhbs.ch|
|Principal Investigator: Roland Bingisser, MD|
|Principal Investigator:||Roland Bingisser, MD||University Hospital, Basel, Switzerland|