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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

Tracking Information
First Submitted Date June 30, 2010
First Posted Date July 1, 2010
Last Update Posted Date July 1, 2010
Study Start Date July 2009
Actual Primary Completion Date June 2010   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures Not Provided
Original Primary Outcome Measures Not Provided
Change History No Changes Posted
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Utility of the History and Physical Exam in the Emergency Department
Official Title Utility of the History and Physical Exam in the Emergency Department
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.
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 Type Observational
Study Design Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Emergency Department Patients
Condition
  • Abdominal Pain
  • Back Pain
  • Dyspnea
  • Headache
  • Weakness
Intervention Not Provided
Study Groups/Cohorts Not Provided
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Completed
Actual Enrollment
 (submitted: June¬†30,¬†2010)
128
Original Actual Enrollment Same as current
Actual Study Completion Date June 2010
Actual Primary Completion Date June 2010   (Final data collection date for primary outcome measure)
Eligibility 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.
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries United States
Removed Location Countries  
 
Administrative Information
NCT Number NCT01154517
Other Study ID Numbers 3617
Has Data Monitoring Committee No
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement Not Provided
Responsible Party Peter Lunny, Henry Ford
Study Sponsor Henry Ford Health System
Collaborators Not Provided
Investigators
Study Director: Jennifer Stevenson, DO Henry Ford Macomb
PRS Account Henry Ford Health System
Verification Date July 2009