NCT05392829

Reorientation of Tripped Patients 4 and 5 in Emergency Department

Completed Last updated 24 February 2025

What this trial tests

trial in Emergency Department in 368 participants. Completed in 15 August 2022.

Timeline

15 February 2022

Primary endpoint
30 June 2022

15 August 2022

Quick facts

Lead sponsor	Centre Hospitalier de Saint-Denis
Status	Completed
Study type	OBSERVATIONAL
Enrollment	368
Start date	15 February 2022
Primary completion	30 June 2022
Estimated completion	15 August 2022
Sites	1 location across France

Conditions studied

• Emergency Department — all drugs for Emergency Department →

Sponsor

Centre Hospitalier de Saint-Denis

Who can join

18 and older, any sex, with Emergency Department. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

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

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.