Acute aandoeningen bij patiënten op de SEH n.v.t.
Conditions
Interventions
Physicians will be presented with the ML risk score of the patients they are
actively treating, directly after assessment of regular diagnostics has taken
place.
Sponsors
Medisch Universitair Ziekenhuis Maastricht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Adult, defined as >= 18 years of age - Assessed and treated by an internal medicine specialist in the ED - Willing to give written consent, either directly or after deferred consent procedure
Exclusion criteria
Exclusion criteria: -
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Calculated ML risk scores and observed mortality, to evaluate discriminatory performance of ML risk score to predict 31-day mortality. - Physicians self-reported policy changes to evaluate whether presentation of the ML risk score causes changes in clinical decision making. Policy changes include treatment policy, requesting ancillary investigations, treatment restrictions (i.e., no intubation or resuscitation). | — |
Secondary
| Measure | Time frame |
|---|---|
| - Clinical endpoints such as 31-day mortality, ICU and MC admission and readmission will be compared between the control an intervention group to evaluate differences. - Diagnostic performance of other clinical risk scores and physicians will be compared to the ML score. | — |
Countries
Netherlands
Outcome results
None listed