Recognition of critical illness at the Emergency Department

Status

Recruiting

Phases

Unknown

Study type

Observational

Source

NL-OMON

Registry ID

NL-OMON26360

Enrollment

800

Registered

2021-05-12

Start date

2021-04-01

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Critical illness

Interventions

None listed

Eligibility

Inclusion criteria

Inclusion criteria: Patients brought to the Emergency Department by ambulance aged 18 years and older

Exclusion criteria

Exclusion criteria: Interhospital transfers

Design outcomes

Primary

Measure	Time frame
The primary outcome is the performance of clinical judgement and EWS in predicting critical illness. Critical illness is defined as: cardiac arrests, (unpredicted) ICU admission (within 72h after ED presentation). Performance of clinical judgement and EWS will be retrospectively compared with patient’s outcome.	—

Secondary

Measure	Time frame
a. To what extend can nurses and clinicians predict whether the patient need admission to the ward/ICU or can be discharged home after ED presentation, according to their clinical impression after ambulance handover. b. To what extend can patients predict their severity of illness and the need for hospital admission. c. Does the patient’s self-assessment of deterioration within the first 24 hours after admission adequately predict 28 days mortality. d. Is the clinical frailty scale an adequate predictor of 28 day mortality. e. In what extend can medical personnel predict 28 day mortality.	—

Measure

Time frame

a. To what extend can nurses and clinicians predict whether the patient need admission to the ward/ICU or can be discharged home after ED presentation, according to their clinical impression after ambulance handover. b. To what extend can patients predict their severity of illness and the need for hospital admission. c. Does the patient’s self-assessment of deterioration within the first 24 hours after admission adequately predict 28 days mortality. d. Is the clinical frailty scale an adequate predictor of 28 day mortality. e. In what extend can medical personnel predict 28 day mortality.

—

Contacts

Public ContactLars Veldhuis

AmsterdamUMC locatie AMC

l.i.veldhuis@amsterdamumc.nl0613277420

Outcome results