Pertussis
Conditions
Keywords
Pertussis, Vaccination, Emergency Department
Brief summary
Randomized controlled trial of 2 strategies to provide adults with the Tdap vaccine to patients presenting to the emergency department. Rates of vaccination as well as effects on department efficiency will be measured.
Detailed description
This study is a prospective randomized, controlled trial of two strategies to provide patients with the pertussis vaccine. Eligible adult patients with be offered pertussis vaccination in the Emergency Department vs. a referral to Public Health for pertussis vaccination. The effect of both strategies on triage time as well as measure of emergency department efficiency including length of stay, time to physician and left without being seen rates will be compared. At a four-month follow up, rates of pertussis vaccination will be measured.
Interventions
BEHAVIORALTdap
Randomized controlled trial of 2 strategies to provide adults with the Tdap vaccine
Sponsors
The Queen Elizabeth Hospital
University of Prince Edward Island
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
* Adults age 18 and above * Have not received Tdap vaccine as an adult (age 18 and above) or have not received Tdap vaccine within 10 years, or unsure of vaccination status
Exclusion criteria
* Acute significant illness (Canadian Triage and Acuity Scale = 1) * Deemed in too much distress by triage nurse * Acute Febrile illness * Allergy to vaccine or vaccine components * Pts presenting for wound care (are normally given the vaccine as part of wound care) * Pregnancy \< 26 weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of immunization | One day | Rate of patients receiving Tdap vaccine |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Left with out being seen rate | One day | Rate of patients leaving without being seen by a physician on study days. |
| Time to physician | One day | Time to be seen by emergency physician after triage (mins, secs) on study days. |
| Patient refusals | One day | Reasons for patient vaccination refusal |
| Length of Stay | One day | Length of Stay (mins, secs) for all patients presenting to the emergency. department on study days. |
| Additional vaccine received | One day | Additional vaccines administered in the Public Health referral arm |
| Triage time | One day | Time (in seconds) required to triage eligible patients in the emergency department |
| Nursing satisfaction | One day | Five statements rated on 5 point likert scale (strongly disagree (1) to strongly agree (5)). The immunization strategy significantly increased my workload; patient care was negatively affected by the immunization strategy; I was unable to provide the standard of care because of the immunization strategy; patient flow within the department was negatively affected by the immunization strategy; the ED should implement the immunization strategy |
Countries
Canada
Outcome results
None listed