Triage
Conditions
Keywords
Triage, Systematic Triage
Brief summary
Crowding in the emergency department (ED) is a well documented problem putting patients at risk of adverse outcomes. To combat this, most ED's use some form of triage. In the last two decades systematic triage or process triage has become the norm in most countries but this approach is supported by limited evidence. Our aim is to develop a faster triage model of only a few vital parameters, based on a data from a large cohort of unselected ED patients and evaluate if such a model combined with a clinical assessment by the ED nurse is inferior to existing triage models in a prospective cluster-randomized trial
Interventions
BEHAVIORALCopenhagen Triage Algorithm
The Copenhagen Triage Algorithm is a new triage method for faster triage in the ED
Sponsors
Herlev Hospital
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients presenting acutely to the Acute ward/Emergency department in two hospitals in the Capital of Denmark
Exclusion criteria
* Patients presenting in Pediatric, Gynecological or Obstetric units
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| All cause mortality | 30 days | Time frame starts at the beginning of the index admission, defined as first admission in the study period. Patients will be followed using central registers. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients with an admission to the intensive care unit | 30 days | — |
| Length of stay during admission | 30 days | — |
| Waiting time for treatment | 8 hours | Waiting time from first presenting at ED to first treatment startet |
| Number of readmissions | 30 and 90 days | Patients will be followed using central registers. All new admissions within 91 days of the same patient is defined as readmissions. |
| All cause mortality | 48 hours | — |
Countries
Denmark
Outcome results
None listed