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Patient Follow-up After Consultation in Emergency Department

Primary Purpose

Consultation, Emergency

Status
Completed
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
Discharge from patient after consultation in emergency department
Sponsored by
Centre Hospitalier Universitaire, Amiens
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Consultation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Major patient not benefiting from any legal protection measures.
  • Speaking French.
  • Outgoing after having received a consultation in a hospital emergency department.
  • Accepting to participate in the study after being informed of the protocol.
  • Having the possibility to be reached by telephone on J7.

Exclusion Criteria:

  • Patient with a pathology that does not allow him or her to understand instructions or express themselves.
  • Patient under tutelage or curatorship or deprived of all freedom.

Sites / Locations

  • CHU Amiens Picardie

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

Patient with an interview

Patient without an interview

Arm Description

Outcomes

Primary Outcome Measures

Analysis of patient compliance with discharge
Analysis of patient compliance with discharge orders issued after consultation in emergencies determined by telephone interview

Secondary Outcome Measures

Full Information

First Posted
April 5, 2017
Last Updated
May 16, 2023
Sponsor
Centre Hospitalier Universitaire, Amiens
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1. Study Identification

Unique Protocol Identification Number
NCT03117179
Brief Title
Patient Follow-up After Consultation in Emergency Department
Official Title
Patient Follow-up After Consultation in Emergency Department
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
November 26, 2013 (Actual)
Primary Completion Date
August 1, 2019 (Actual)
Study Completion Date
August 25, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Centre Hospitalier Universitaire, Amiens

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Each year more than 15 million French people visit the emergency services and almost 80% of them come out without hospitalization after having undergone a clinical examination and possibly additional examinations.
Detailed Description
Each year more than 15 million French people visit the emergency services and almost 80% of them come out without hospitalization after having undergone a clinical examination and possibly additional examinations. Following their discharge, compliance with discharge requirements and recommendations (treatment, monitoring, follow-up, etc.) is a determining factor in improving their health. Non-membership is linked to an increase in morbidity, mortality and use of the health system. Patient adherence to discharge instructions is conditional on patient understanding. Unfortunately, the environment of an emergency service often creates conditions for information and education of the patient that are often far from optimal or at least that are specific to a typical consultation. Data from the international literature showed that 78% of people who come out of emergency after consultation do not clearly understand the instructions and only 20% are aware of their lack of understanding. Waisman et al. Documented that 25% of patients did not understand their diagnosis and that 13% to 18% did not understand treatment instructions. Heng et al. Have shown that patients leaving after head trauma are unable to cite the symptoms that should prompt them to consult quickly. The involvement of healthcare teams to inform patients with the help of different communication media is therefore particularly important in trying to improve understanding and adherence to exit instructions. However, Zavala et al. Point to the fact that this is not necessarily sufficient. Some authors have identified factors of poor adherence: multiple chronic diseases, multiple drug treatments, psychiatric disorders, but also age, social isolation, depression, quality of life and socio-economic and cultural level , A low level of health literacy, or planned medical follow-up, the severity of the pathology and the perception of that severity by the patient, or the patient's dissatisfaction with medical instructions. The patients' adherence to the literature is evaluated in a varied manner according to the pathologies concerned: counting the number of tablets; Patient self-tracking log; Reports from physicians, reports by third parties (such as the patient's spouse); Electronic measurements (for example, metered-dose inhalers or electronic drop dispensers); Blood or urine dosage. The different methods used have advantages and disadvantages that need to be assessed according to the needs of the study we wish to implement. While declarative investigations in the assessment of patient adherence are criticized, no method has unfortunately been used as a benchmark for assessing adherence. The bibliographic search did not find any questionnaires that had been validated in this context. In order to evaluate the adhesion, the investigator will therefore opt for a semi-directed interview at D7 in order to better control a possible bias of memorization. This tool has known limitations including a tendency to overestimate adhesion, because patients tend to respond to what doctors want to hear. This will be taken into account in the interpretation of the results.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Consultation, Emergency

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
242 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Patient with an interview
Arm Type
Other
Arm Title
Patient without an interview
Arm Type
Other
Intervention Type
Other
Intervention Name(s)
Discharge from patient after consultation in emergency department
Intervention Description
Discharge from patient after consultation in emergency department
Primary Outcome Measure Information:
Title
Analysis of patient compliance with discharge
Description
Analysis of patient compliance with discharge orders issued after consultation in emergencies determined by telephone interview
Time Frame
7 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Major patient not benefiting from any legal protection measures. Speaking French. Outgoing after having received a consultation in a hospital emergency department. Accepting to participate in the study after being informed of the protocol. Having the possibility to be reached by telephone on J7. Exclusion Criteria: Patient with a pathology that does not allow him or her to understand instructions or express themselves. Patient under tutelage or curatorship or deprived of all freedom.
Facility Information:
Facility Name
CHU Amiens Picardie
City
Amiens
State/Province
Picardie
ZIP/Postal Code
80054
Country
France

12. IPD Sharing Statement

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Patient Follow-up After Consultation in Emergency Department

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