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EPICS-8: Reasons for Emergency Department Utilization by Patients With Non-urgent Conditions (EPICS-8)

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ClinicalTrials.gov Identifier: NCT03036969
Recruitment Status : Recruiting
First Posted : January 31, 2017
Last Update Posted : July 18, 2018
Sponsor:
Collaborator:
Zentralinstitut für die Kassenärztliche Versorgung in Deutschland
Information provided by (Responsible Party):
Martin Moeckel, Charite University, Berlin, Germany

Brief Summary:

EPICS-8: Reasons for Emergency Department utilization by patients with non-urgent conditions:

Emergency Departments (EDs) are an important interface between primary and secondary health care sectors in Germany. The number of outpatient visits in the ED´s is still increasing. The reasons for ED utilization by patients with non-urgent conditions are nearly unknown in Germany and will be investigated in this project.


Condition or disease
Non-urgent Emergencies

Detailed Description:

EPICS-8: Reasons for Emergency Department utilization by patients with non-urgent conditions:

Emergency Departments (EDs) are an important interface between primary and the secondary health care system in Germany. The number of outpatient visits in the ED´s is still increasing. The reasons for ED utilization by patients with non-urgent conditions are nearly unknown in Germany and will be explored in this project.

EPICS-8 is a pilot study to establish a research structure for the linkage of ED-data with data of the primary health care sector. Data linkage will be conducted for patients with the Manchester Triage System categories blue, green and yellow. A secondary aim of the EPICS-8 study is to develop a valid questionnaire for the assessment of reasons for ED utilization by non-urgent patients.

Primary objective:

Establishing of a research structure for the linkage of inhospital-data with data from the primary health care System. Records of 5,000 patients who attended one of the two EDs at the Charité University Medicine Berlin will be linked to Primary health care data.

Secondary objectives:

  1. Development and testing of a questionaire for the identification of reasons for emergency department utilization by patients with non-urgent conditions (n=100)
  2. Characterization and quantification of non-urgent emergencies
  3. Explorative analysis of patient pathways and influencing factors for ED-visits with non-urgent conditions.

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Study Type : Observational
Estimated Enrollment : 5000 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Emergency Processes in Clinical Structures - EPICS-8: Gründe für Die Inanspruchnahme Der Notaufnahme Durch Patienten Mit Blauer, grüner Oder Gelber Triagekategorie Und Ambulantem Behandlungsbedarf
Study Start Date : May 2016
Estimated Primary Completion Date : December 2018
Estimated Study Completion Date : June 2019

Group/Cohort
Non-urgent emergencies
Outpatients in the Emergency Department with the MTS-Triage category blue, green or yellow



Primary Outcome Measures :
  1. Number of patients with linkable records [ Time Frame: 05/2016 - 05/2018 ]
    The Primary outcome will be the proportion of patients with successful record linkage.


Secondary Outcome Measures :
  1. Valid Questionnaire [ Time Frame: 05/2016 - 05/2017 ]
    A patients questionnaire for the assessment of Emergency Department utilization by non-urgent patients will be developed. The outcome of this work package will be a valid patient questionnaire.

  2. Demographic characteristics of non-urgent ED patients [ Time Frame: During the study period ]
    Descriptive analysis of demographic characteristics of ED patients with non-urgent conditions

  3. Clinical characteristics of non-urgent ED patients [ Time Frame: During the study period ]
    Descriptive analysis of clinical characteristics of ED patients with non-urgent conditions

  4. Patient pathways for ED-Visits [ Time Frame: 10/2017 - 05/2018 ]
    Explorative analysis of patient pathways for ED-visits with non-urgent conditions

  5. Influencing factors for ED-Visits [ Time Frame: 10/2017 - 05/2018 ]
    Explorative analysis of influencing factors for ED-visits with non-urgent conditions



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Ages Eligible for Study:   18 Years to 115 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Adult men and women who are discharged after emergency treatment (outpatients) with an initial Manchester Triage Category of blue, green or yellow.
Criteria

Eligibility criteria for record linkage:

  • Age>= 18 years
  • Outpatients
  • MTS-Triage category blue, green or yellow
  • Treatment in one of the two participating EDs

Eligibility criteria for questionnaire pretest:

Inclusion Criteria:

  • Age>= 18 years
  • Outpatients
  • MTS-Triage category blue, green or yellow
  • Treatment in one of the two participating EDs
  • Eligibility to understand the study purposes and give written informed consent

Exclusion Criteria:

  • Dementia
  • no sufficient German language skills
  • patients with legal representatives

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): NCT03036969


Contacts
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Contact: Martin Möckel, MD martin.moeckel@charite.de
Contact: Johann Frick, M A 004930450553027 johann.frick@charite.de

Locations
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Germany
Charité Universitätsmedizin - Berlin Recruiting
Berlin, Germany, 13353
Contact: Martin Möckel, MD       martin.moeckel@charite.de   
Contact: Johann Frick, M A    004930450553027    johann.frick@charite.de   
Sponsors and Collaborators
Charite University, Berlin, Germany
Zentralinstitut für die Kassenärztliche Versorgung in Deutschland
Investigators
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Principal Investigator: Martin Möckel, MD Charite University, Berlin, Germany

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Responsible Party: Martin Moeckel, Univ.-Prov., Charite University, Berlin, Germany
ClinicalTrials.gov Identifier: NCT03036969     History of Changes
Other Study ID Numbers: EPICS-8
First Posted: January 31, 2017    Key Record Dates
Last Update Posted: July 18, 2018
Last Verified: July 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Additional relevant MeSH terms:
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Emergencies
Disease Attributes
Pathologic Processes