Prehospital Assessment Units - a Matched Cohort Study
NCT05654909 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 10849
Last updated 2023-02-16
Summary
This study aimed to evaluate the prehospital assessment unit (PAU) by admission within 48 hours, 7 days, respectively and on survival.
The PAU should increase focus on a patient-centered approach with the capability to make advanced assessments of patients to reduce unnecessary transportation. Further, this paramedic assessment program could positively impact the healthcare system by reducing admissions to emergency departments.
The PAU is operated by paramedics who have additional education, and they are capable of testing and monitoring certain conditions at the scene - in the home of the patients. The paramedics decide if the patient requires admission to the hospital or if the patient could stay at home. They are consulting physicians on call by phone.
This retrospective cohort study included data from patients assessed by the PAU between November 1st 2021, and October 1st 2022.
Non-PAU patients were selected from the 1-1-2 calls (the European version of 9-1-1) EMS and were collected based on the same criteria as the patients assessed by the PAU. The control ratio was 1:10 for cases to increase power. The non-PAU patients were matched on sex and age (within 5-year ranges). Matching was performed using incidence density sampling, where controls were selected for each case on the week of 1-1-2 call.
Conditions
- Pneumonia
- Urinary Tract Infections
- Fall
- Infections
- GI Disorders
- Orthopedic Disorder
Interventions
- PROCEDURE
-
Prehospital assessment unit
The prehospital assessment unit was developed to provide a paramedic responding by car to 1-1-2 calls in the area of Region Zealand. Further details are mentioned in the description.
Sponsors & Collaborators
-
Prehospital Center, Region Zealand
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-11-01
- Primary Completion
- 2022-10-31
- Completion
- 2023-01-01
Countries
- Denmark
Study Locations
More Related Trials
-
Advanced Point-of-care Technology During In-home Assessment Among Older Adults
NCT05546073 ·Status: COMPLETED ·Phase: NA
-
Socio-demographic Characteristics of Basic Life Support Course Participants
NCT04251325 ·Status: UNKNOWN
-
Evaluation of the Patient Deterioration Warning System
NCT03375658 ·Status: UNKNOWN ·Phase: NA
-
Patients Treated by the Danish Emergency Medical Services Following Non-drowning Water Rescues From 2016 to 2023
NCT06327893 ·Status: RECRUITING
-
Cardiac point-of Care Ultrasound Training Pathway for Emergency Department Advanced Practice Providers
NCT07159269 ·Status: RECRUITING ·Phase: NA
-
The Use of the FAST (Focused Abdominal Scan for Trauma) Scan by Paramedics in Mass Casualty Incidents
NCT01310504 ·Status: COMPLETED ·Phase: NA
-
Care Anywhere With Community Paramedics Program to Reduce Hospitalization
NCT05232799 ·Status: COMPLETED ·Phase: NA
-
Point-Of-Care Ultrasound-Driven vs Standard Diagnostic Pathway in Emergency Department Patients With Dyspnea
NCT05674916 ·Status: COMPLETED ·Phase: NA
-
Rapid Response Teams - How and Who?
NCT04507737 ·Status: RECRUITING ·Phase: NA
-
Projected Prognosis as a Predictor of Short-term Outcome After Treatment of Minor Musculoskeletal Injuries in the Emergency Department
NCT04011917 ·Status: COMPLETED
-
Ultrasonography in the Emergency Department
NCT02550184 ·Status: UNKNOWN ·Phase: NA
-
The Use of a Point-of-care Thoracic Ultrasound Protocol for Hospital Medical Emergency Teams
NCT03214809 ·Status: TERMINATED ·Phase: NA
-
Evaluation of Patients After Cardiac Surgery: Novel Ultrasound Parameters for Quantification of Renal Perfusion & Analysis of Phenylephrines' Effect on Invasive Haemodynamics and Echocardiographic Measures
NCT04419662 ·Status: COMPLETED ·Phase: PHASE4
-
Evaluation of the Course Format "NASIM25"
NCT05295485 ·Status: COMPLETED
-
Impact of Emergency Physician-Performed Ultrasound for the Evaluation of Patients With Acute Abdominal Pain
NCT04912206 ·Status: COMPLETED ·Phase: NA
-
Point-of-care-ultrasound in Swiss Air Rescue Rega
NCT06602856 ·Status: RECRUITING
-
The Use of Ultrasound in Establishing COVID-19 Infection as Part of a Trauma Evaluation
NCT04340479 ·Status: COMPLETED
-
Sensitivity and Specificity of Urinary Dipstick in Emergency Departments
NCT04059211 ·Status: COMPLETED
-
Wisconsin Evaluation of Emergency Department Care Coordination
NCT04550169 ·Status: COMPLETED
-
Mobile Stroke Unit for Pre-hospital Emergency Care
NCT05330715 ·Status: UNKNOWN ·Phase: NA
-
Sonography in an Unselected Population of Acute Admitted Patients With Respiratory Symptoms
NCT01486394 ·Status: COMPLETED ·Phase: NA
-
The Value of Ultralow Dosis CT and Ultrasound in the Diagnosing of Pneumonia in the Emergency Department
NCT04645030 ·Status: COMPLETED
-
Cross Checking to Reduce Adverse Events in the Emergency Department
NCT02356926 ·Status: COMPLETED
-
Evaluation of the Impact of Pleuropulmonary Ultrasound on the Diagnosis of Dyspnea
NCT07104578 ·Status: RECRUITING
-
Paramedic Experiences and Perceptions of Training for Participation in Research: the PREPARE Study
NCT04709926 ·Status: WITHDRAWN