The Use of a Monitoring Device by General Practitioners During Out-of-hours Care
NCT05222711 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 866
Last updated 2022-02-03
Summary
All calls that end up on the out-of-hours general practitioners' service (OHGPS), which contain a demand for an urgent home visit, are passed on to the on-call general practitioner (GP). These calls are randomized into two arms: after the patient's informed consent, they are assigned either to one arm where the monitoring device, PICO, is applied together with the GP's general care or to the other arm where only the usual care is provided. All data such as suspected diagnosis, treatment or referral, influence of the parameters, ECG and/or alarms on the management and the user-friendliness are recorded. After 30 days, the diagnosis and evolution is requested from the patient's own GP or, if referred to a hospital, in the hospital in order to be able to compare the effect of the approach by the GP between both arms. The aim is to investigate if 1/ the use of the PICO monitoring device could improve GPs' decisions to refer to hospital or not in urgent cases; 2/ there is a difference between the diagnosis with and without the use of the monitoring device using the final diagnosis by the electronic health record of the own GP of the patient; 3/ the call to send a GP for an emergency contained sufficient information for the OHGPS phone operator to take an appropriate decision; 4/ the build-in alarms help the GP during his intervention; 5/ the PICO is easy to use during an emergency; 6/ the use of the device makes them feel more confident in transmitting the information to the Medical Emergency Team.
Conditions
- Emergencies
- Heart Failure
- Pulmonary Embolism
- Acute Exacerbation of Chronic Obstructive Pulmonary Disease
- Asthma
- Acute Coronary Syndrome
- Acute Myocardial Infarction
- Atrial Fibrillation
- Atrial Flutter
- Hyperventilation
- Pneumonia
- Pneumothorax
- Cardiac Arrest
- Pulmonary Edema
- Rhythm; Abnormal
Interventions
- DEVICE
-
Use of the PICO(TM) monitoring device
The aim is to record if the outcome (referral or not) is influenced by the results of the parameters and/or the ECG.
Sponsors & Collaborators
-
KU Leuven
lead OTHER
Principal Investigators
-
Jan Y Verbakel, MD, PhD · ACHG
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-05-31
- Primary Completion
- 2022-11-30
- Completion
- 2022-12-31
Countries
- Belgium
Study Locations
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