C-reactive Protein (CRP)-Guided Management Algorithm for Adults With Acute Cough
NCT00221351 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 139
Last updated 2011-05-23
Summary
We aim to evaluate the impact of a CRP-guided management algorithm for adults with acute cough illness. More specifically, we will examine both process of care and clinical outcomes:
1. Processes of care (i.e., chest x-rays ordered, antibiotic treatment, length-of-time in the ED). We hypothesize that CRP-guided management will be associated with a decrease in the antibiotic prescription for acute cough illness from 50 percent to 30 percent.
2. Clinical outcomes (i.e., duration of illness, any return visit, return visit with a diagnosis of pneumonia, hospitalization, subsequent antibiotic use, satisfaction with care). We hypothesize that there will be no difference in the proportion of patients feeling back to normal within 2 weeks of their ED visit for acute cough illness (about 60 percent, 95% confidence interval=50 to 70 percent).
Conditions
Interventions
- PROCEDURE
-
CRP point of care testing
Sponsors & Collaborators
-
US Department of Veterans Affairs
collaborator FED -
Agency for Healthcare Research and Quality (AHRQ)
collaborator FED -
University of California, San Francisco
lead OTHER
Principal Investigators
-
Ralph Gonzales, MD · University of California, San Francisco
-
Joshua Metlay, MD · VAMC Pittsburgh
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2005-10-31
- Primary Completion
- 2006-03-31
- Completion
- 2006-07-31
Countries
- United States
Study Locations
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