Emergency DepartmentNCT05392829
Reorientation of Tripped Patients 4 and 5 in Emergency Department
An observational study of Emergency Department, run by Centre Hospitalier de Saint-Denis at 1 site in France.
Trial summary
The increase in emergency room visits is partly related to the growing increase in unscheduled care, paradoxically associated with a decrease in the outpatient supply in the city. The "avoidable" passing rate is estimated at 43% in the last major DREES survey on hospital emergencies. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Emergency Department
- How many people
- 368 participants
- Where
- 1 siteFrance
- Study dates
- 15 Feb 2022to 15 Aug 2022
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: patients over 18 years of age sorted 4 and 5 at the IAO present during the survey, at the hours of working days and the permanence of ambulatory care
Who may be able to join
- patients tripped 4 and 5 at the IOA
- patients aged 18 years or older
- patients presenting to the emergency room every day of the week during the day and in the evening
Who cannot join
- patients triaged 1, 2, 3 at the IOA
- consulting patients for reasons requiring psychiatric advice
- unaccompanied minor patients
- patients brought by the police
- refusal or impossibility to participate
- protected adult patients
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Reorientation of Tripped Patients 4 and 5 in Emergency Department to the City Medicine
The increase in emergency room visits is partly related to the growing increase in unscheduled care, paradoxically associated with a decrease in the outpatient supply in the city. The "avoidable" passing rate is estimated at 43% in the last major DREES survey on hospital emergencies. Emergency services have been facing this challenge for years, but there is an urgent need to rethink its organizational model with the liberal system to meet this growing demand. Reorientation from the reception of emergencies is one of the avenues envisaged to face this challenge. It offers a different course from that of emergencies, provided that there are care structures equipped and adapted to unscheduled care. The Hospital in Saint-Denis is particularly faced with these challenges given a particular social ecosystem.
Methodology :
Read more
This single-center prospective observational study includes all adult patients sorted 4 and 5 by the reception organizing nurse, present during the survey.
The reorientation is one of the solutions proposed in the context of reorganizing access to care throughout the territory, appearing as one of the major public health issues in the coming years, it is appropriate to ask the question on a local scale. particularly exposed to the problem of unscheduled care, if patients are eligible for reorientation The non-medical factors identified as limiting the reorientation are: the absence of social cover, the language barrier, the patients referred by the samu or the fire brigade or a doctor, the patients who came by ambulance (because considered in theory as in the impossibility to move or having already been the subject of a "regulation")
Each 4 or 5 redirected patient is included and completes a questionnaire allowing the collection of information relating to their care pathways.
Primary endpoint :
Determine the proportion of patients not eligible for reorientation on non-medical criteria via a questionnaire, and identify the distribution of factors complicating reorientation
Secondary endpoints :
Identify the needs of patients re-orientated towards city medicine via the analysis of their passage to the emergency room, the reasons for their recourse to the emergency room (reasons, means and modes of arrival) their knowledge of the health system, and their relationship to general medicine
- Conditions
- Emergency Department
- Medical subject headings
- Emergencies
What is being measured
The primary outcome is the main question the study is designed to answer.
socio-demographic characteristics
medical history, social security coverage, french language
Measured: Day 1
reason for consultation
emergency assessment
Measured: Day 1
Secondary outcomes (1)
care pathway
time spent in the emergency room, additional examinations, diagnosic, becoming
Measured: Day 1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 May 2022
- Study start15 Feb 2022
- Primary completion30 Jun 2022
- Study completion15 Aug 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Emergency DepartmentStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case only
- Time perspective
- Prospective
- Enrolment
- 368 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier de Saint-Denis
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Aurélie GIRARD, Principal investigator, Centre Hospitalier de Saint-Denis
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05392829
- Sponsor's protocol ID
- CHSD_0016_URGENCES
- Other IDs
- 2021-A01989-32
- Status last verified
- Feb 2025
- First submitted
- 20 May 2022
- Last updated
- 24 Feb 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Guttmann A, Schull MJ, Vermeulen MJ, Stukel TA. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. BMJ. 2011 Jun 1;342:d2983. doi: 10.1136/bmj.d2983.
PubMed 21632665Marchetti M, Lepape M, Lauque D. La réorientation à l'accueil des services d'urgences : évaluation des pratiques professionnelles françaises. Ann Fr Médecine Urgence. 2014;4:349-353. doi:10.1007/s13341-014-0411-9
Gilbert A, Brasseur E, Ghuysen A, D'Orio V. [New method to regulate unscheduled urgent care : the ODISSEE interactive self-triage platform]. Rev Med Liege. 2020 Mar;75(3):159-163. French.
PubMed 32157840
Study at a glance
From the registry record, last updated by the sponsor on 24 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Reorientation of Tripped Patients 4 and 5 in Emergency Department to the City Medicine
- ClinicalTrials.gov ID
- NCT05392829
- Acronym / sponsor ID
- CHSD_0016_URGENCES
- Conditions
- Emergency Department
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 368 participants (actual)
- Lead sponsor
- Centre Hospitalier de Saint-DenisUniversity, hospital or other
- Study start
- 15 Feb 2022 (actual)
- Primary completion
- 30 Jun 2022 (actual)
- Study completion
- 15 Aug 2022 (actual)
- First posted
- 26 May 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The increase in emergency room visits is partly related to the growing increase in unscheduled care, paradoxically associated with a decrease in the outpatient supply in the city. The "avoidable" passing rate is estimated at 43% in the last major DREES survey on hospital emergencies. Emergency services have been facing this challenge for years, but there is an urgent need to rethink its organizational model with the liberal system to meet this growing demand. Reorientation from the reception of emergencies is one of the avenues envisaged to face this challenge. It offers a different course from that of emergencies, provided that there are care structures equipped and adapted to unscheduled care. The Hospital in Saint-Denis is particularly faced with these challenges given a particular social ecosystem.
Methodology :
This single-center prospective observational study includes all adult patients sorted 4 and 5 by the reception organizing nurse, present during the survey.
The reorientation is one of the solutions proposed in the context of reorganizing access to care throughout the territory, appearing as one of the major public health issues in the coming years, it is appropriate to ask the question on a local scale. particularly exposed to the problem of unscheduled care, if patients are eligible for reorientation The non-medical factors identified as limiting the reorientation are: the absence of social cover, the language barrier, the patients referred by the samu or the fire brigade or a doctor, the patients who came by ambulance (because considered in theory as in the impossibility to move or having already been the subject of a "regulation")
Each 4 or 5 redirected patient is included and completes a questionnaire allowing the collection of information relating to their care pathways.
Primary endpoint :
Determine the proportion of patients not eligible for reorientation on non-medical criteria via a questionnaire, and identify the distribution of factors complicating reorientation
Secondary endpoints :
Identify the needs of patients re-orientated towards city medicine via the analysis of their passage to the emergency room, the reasons for their recourse to the emergency room (reasons, means and modes of arrival) their knowledge of the health system, and their relationship to general medicine
Study design
- Observational model
- Case only
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- patients over 18 years of age sorted 4 and 5 at the IAO present during the survey, at the hours of working days and the permanence of ambulatory care
Key inclusion criteria (3 listed)
- patients tripped 4 and 5 at the IOA
- patients aged 18 years or older
- patients presenting to the emergency room every day of the week during the day and in the evening
Key exclusion criteria (6 listed)
- patients triaged 1, 2, 3 at the IOA
- consulting patients for reasons requiring psychiatric advice
- unaccompanied minor patients
- patients brought by the police
- refusal or impossibility to participate
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
socio-demographic characteristics
Time frame: Day 1
medical history, social security coverage, french language
reason for consultation
Time frame: Day 1
emergency assessment
1 secondary outcome
care pathway
Time frame: Day 1
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Feb 2025.
- Background: PubMed 21632665Guttmann A, Schull MJ, Vermeulen MJ, Stukel TA. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. BMJ. 2011 Jun 1;342:d2983. doi: 10.1136/bmj.d2983.
- BackgroundMarchetti M, Lepape M, Lauque D. La réorientation à l'accueil des services d'urgences : évaluation des pratiques professionnelles françaises. Ann Fr Médecine Urgence. 2014;4:349-353. doi:10.1007/s13341-014-0411-9
- Background: PubMed 32157840Gilbert A, Brasseur E, Ghuysen A, D'Orio V. [New method to regulate unscheduled urgent care : the ODISSEE interactive self-triage platform]. Rev Med Liege. 2020 Mar;75(3):159-163. French.
- healthcare facilities 2020Link provided by the sponsor.
- triage in emergency structureLink provided by the sponsor.
- ensuring first access to careLink provided by the sponsor.
- National Survey of Hospital Emergency Structures, June 2013Link provided by the sponsor.
- survey and results DREES 2013Link provided by the sponsor.
- Information report by Mr. Philippe Boënnec tabled by the Delegation of the National Assembly for the Planning and Sustainable Development of the Territory on the permanence of careLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Aurélie GIRARD principal investigator
Centre Hospitalier de Saint-Denis
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Emergency Department, run by Centre Hospitalier de Saint-Denis at 1 site in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 24 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
socio-demographic characteristics (time frame: Day 1). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05392829, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Feb 2025.