Respiratory tract infections Respiratory
Conditions
Interventions
Currently, most patients with lower respiratory tract infections, who are seen and evaluated in our Emergency Department, are generally admitted to hospital regardless of medical, nursing and psychoso
Sponsors
Kantonsspital Aarau (Switzerland)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age = 18 years 2. Admission to Emergency Department (ED) of acute care hospital (Kantonsspital Aarau, Klinik Barmelweid) for acute lower respiratory tract infections
Exclusion criteria
Exclusion criteria: Does not match inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To define the percentage of allocated patients into low, intermediate, high and very high risks based on medical, nursing and psychosocial criteria corresponding to virtual triage into ambulatory, post-peracute care, spa treatment, nurse-led unit or traditional acute hospital care | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Correlation of biomarkers, clinical and nursing scores (separately and in combination) with patients' outcomes (hospital mortality, ICU requirement and severe complications such as empyema, lung abscess, development of acute respiratory distress syndrome [ARDS], persistence or development of pneumonia) and site of care decisions 2. Identification and adaptation of medical, nursing and psychosocial criteria for triage decisions using biomarkers, clinical scores and functionality assessments, patients' and relatives` preferences 3. Testing the usefulness and feasibility of functional status and risk assessment tools as a surrogate marker for nursing requirements for risk-stratification 4. Comparison of the post-acute care discharge score with biomarkers and other clinical and functional assessment tools on day 3 5. External validation of the 5 day-1-items identified as predictive for post-acute care discharge 6. Identification of patients' and relatives' information needs 7. Cost-effectiveness of innovative pathways based on case-based lump sum (Fallpauschale) of entire treatment pathway on patient-level 8. Identification of patients' and families' preferences for site of care 9. Determination of current length of acute hospitalisation 10. Identification of medical and functional/nursing and psychosocial criteria to define stability for timely transfer to home or post-peracute care facilities (spa treatment or immediate post-peracute care in specialized facilities or NLU) 11. Determination of time to stability for transfer to post-peracute care facilities 12. Determination of proportion of patients eligible for pulmonary rehabilitation and time until eligibility | — |
Countries
Switzerland
Outcome results
None listed