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Utility of the History and Physical Exam in the Emergency Department

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01154517
Recruitment Status : Completed
First Posted : July 1, 2010
Last Update Posted : July 1, 2010
Sponsor:
Information provided by:
Henry Ford Health System

Study Description
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Brief Summary:
The study is trying to prove that the history and physical exam (H&P) in the emergency department is the most important tool in exam of patients. The investigator is attempting to correlate the time of the H&P of residents and attendings to the accuracy of diagnosis.

Condition or disease
Abdominal Pain Back Pain Dyspnea Headache Weakness

Detailed Description:

The purpose of the study is to examine the utility of the history and physical exam in the emergency room towards obtaining a diagnosis. The goal of this observational study is to correlate physician level of experience and time spent on history and physical exam, to the correct diagnosis.

The aim of this study is:

  1. To draw a connection between time and accuracy of the history and physical exam.
  2. To draw a connection between time and level of experience as a physician based on post-graduate level.
  3. To assess the number of laboratory and radiographic studies and the post-graduate level.
  4. To assess the relevance of the labs and radiographs ordered. (Relevance is defined as something that changes plan of care.)

Time is a critical component of the ED physician. Our study will analyse if modern medicine has created a more laboratory/image based need to ascertain a diagnosis or if history and physical examination alone can predict the ultimate diagnosis.

Study Design
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Study Type : Observational
Actual Enrollment : 128 participants
Time Perspective: Prospective
Official Title: Utility of the History and Physical Exam in the Emergency Department
Study Start Date : July 2009
Actual Primary Completion Date : June 2010
Actual Study Completion Date : June 2010
Groups and Cohorts
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Outcome Measures
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Eligibility Criteria
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Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Emergency Department Patients
Criteria

Inclusion Criteria:

  • Anyone over the age of 18 with a generalized complaints able to provide consent

Exclusion Criteria:

  • Anyone under 18 yrs and anyone with a very specific, system based complaint.
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01154517


Locations
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United States, Michigan
Henry Ford Macomb Hospital
Clinton Township, Michigan, United States, 48038
Sponsors and Collaborators
Henry Ford Health System
Investigators
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Study Director: Jennifer Stevenson, DO Henry Ford Macomb
More Information
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Responsible Party: Peter Lunny, Henry Ford
ClinicalTrials.gov Identifier: NCT01154517    
Other Study ID Numbers: 3617
First Posted: July 1, 2010    Key Record Dates
Last Update Posted: July 1, 2010
Last Verified: July 2009
Additional relevant MeSH terms:
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Dyspnea
Emergencies
Headache
Abdominal Pain
Pain
Neurologic Manifestations
 Disease Attributes
Pathologic Processes
Respiration Disorders
Respiratory Tract Diseases
Signs and Symptoms, Respiratory
Signs and Symptoms, Digestive