Healthcare AccessCPU - IPANCT07405073
Advanced Practice Nurse Specializing in Emergency Care and Post-emergency Consultation: Feasibility Study
An observational study of Healthcare Access, run by Centre Hospitalier Régional Metz-Thionville at 1 site in France.
Trial summary
Emergency departments are facing increasing overload, exacerbated by difficulties in accessing primary care. This saturation impacts the fluidity of care pathways and the quality of care. A major challenge is the high rate of short-term repeat visits, which increases the workload. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Healthcare Access
- How many people
- 328 participants
- Where
- 1 siteFrance
- Study dates
- 1 Jan 2025to 30 Jun 2025
- 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 who visited the emergency department and were seen again within 15 days.
Who may be able to join
- Patients who visited the emergency department at 15-day intervals during the study period
Who cannot join
- Patients hospitalized at the time of the first consultation
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Advanced Practice Nurse Specializing in Emergency and Post-emergency Care: Towards Improved Unscheduled Care?
Emergency departments are facing increasing overload, exacerbated by difficulties in accessing primary care. This saturation impacts the fluidity of care pathways and the quality of care.
A major challenge is the high rate of short-term repeat visits, which increases the workload. These early returns may be due to an unexpected change in the patient's condition, but also to the difficulty of obtaining a quick appointment with a general practitioner, due to a shortage of practitioners or a lack of available slots within a few days.
Read the detailed description
In this context, the implementation of a Post-Emergency Consultation by an Advanced Practice Nurse could be a solution to improve patient follow-up and limit these avoidable return visits.
Main objective: Identify the profiles of patients who return for a second consultation within 15 days of their first visit to the emergency department.
Secondary objectives:
- Describe the characteristics of these patients (age, gender, medical history, pathologies, reasons for the initial consultation, reasons for the repeat consultation).
- Analyze medical records to assess whether a post-emergency consultation by an APN could have prevented this repeat consultation.
- Conditions
- Healthcare Access
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage patients who return for a second consultation
Percentage of patients who return for a second consultation within 15 days of their first visit to the emergency department and prifile of patients
Measured: 15 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Feb 2026
- Study start1 Jan 2025
- Primary completion30 Jun 2025
- Study completion30 Jun 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Healthcare AccessStudies 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
- Other
- Time perspective
- Retrospective
- Enrolment
- 328 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Régional Metz-Thionville
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07405073
- Sponsor's protocol ID
- 2025-05-Obs-CHRMT
- Acronym
- CPU - IPA
- Status last verified
- Dec 2025
- First submitted
- 27 Jan 2026
- Last updated
- 12 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Advanced Practice Nurse Specializing in Emergency and Post-emergency Care: Towards Improved Unscheduled Care?
- ClinicalTrials.gov ID
- NCT07405073
- Acronym / sponsor ID
- CPU - IPA / 2025-05-Obs-CHRMT
- Conditions
- Healthcare Access
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 328 participants (actual)
- Lead sponsor
- Centre Hospitalier Régional Metz-ThionvilleUniversity, hospital or other
- Study start
- 1 Jan 2025 (actual)
- Primary completion
- 30 Jun 2025 (actual)
- Study completion
- 30 Jun 2025 (actual)
- First posted
- 12 Feb 2026 (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.
Emergency departments are facing increasing overload, exacerbated by difficulties in accessing primary care. This saturation impacts the fluidity of care pathways and the quality of care.
A major challenge is the high rate of short-term repeat visits, which increases the workload. These early returns may be due to an unexpected change in the patient's condition, but also to the difficulty of obtaining a quick appointment with a general practitioner, due to a shortage of practitioners or a lack of available slots within a few days.
Detailed description
In this context, the implementation of a Post-Emergency Consultation by an Advanced Practice Nurse could be a solution to improve patient follow-up and limit these avoidable return visits.
Main objective: Identify the profiles of patients who return for a second consultation within 15 days of their first visit to the emergency department.
Secondary objectives:
- Describe the characteristics of these patients (age, gender, medical history, pathologies, reasons for the initial consultation, reasons for the repeat consultation).
- Analyze medical records to assess whether a post-emergency consultation by an APN could have prevented this repeat consultation.
Study design
- Observational model
- Other
- Time perspective
- Retrospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients who visited the emergency department and were seen again within 15 days.
Key inclusion criteria (1 listed)
- Patients who visited the emergency department at 15-day intervals during the study period
Key exclusion criteria (1 listed)
- Patients hospitalized at the time of the first consultation
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
Percentage patients who return for a second consultation
Time frame: 15 days
Percentage of patients who return for a second consultation within 15 days of their first visit to the emergency department and prifile of patients
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 12 Feb 2026.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
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 Healthcare Access, run by Centre Hospitalier Régional Metz-Thionville 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 1 inclusion and 1 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 12 Feb 2026. 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?
Percentage patients who return for a second consultation (time frame: 15 days). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 12 Feb 2026.