International Big Data Centre in Emergency Medicine
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Emergency Medicine. Basic parameters: No limits · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Institute of Sciences in Emergency Medicine - International Big Data Centre in Emergency Medicine
Overview
This observational study aims to use electronic health records to build an International Big Data Centre in Emergency Medicine, within the Institute of Sciences in Emergency Medicine (ISEM) at the Guangdong Provincial People's Hospital. The main questions it seeks to answer are not limited to the following: * Identify the relationship between Emergency Department Length of Stay (EDLOS), Mortality, and Adverse Events (AE) * Identify the risk factors associated with high mortality and AE rate among patients who experience prolonged EDLOS * Other research questions related to emergency medicine, such as building prediction and cluster models for acute diseases
Detailed description
The relationship between the emergency department length-of-stay (EDLOS), mortality, and adverse events (AE) rate remains unclear and underestimated. EDLOS is the time elapsed between the time of arrival and the time of the release of a patient admitted to ED. Mortality is defined as short-term (14 hours, 48 hours, 7 days, 15 days) and 30 days death of patients managed in the ED discharged or admitted. An AE is an event that can result whether from medical mismanagement or happen by accident and causes physical and mental harm to the patient during the stay and remains after leaving. To separate the mismanagement from accidental causes i.e., compliant management but the unfortunate situation or persons, this study will refer to indicators that are objectively measurable and can be compared at different times throughout the patient's stay in the ED.
The hypothesis is that a prolonged stay of the patients in the ED especially without diagnosis or decision of admission is associated with increased mortality and AEs. This project will test this hypothesis through a prospective international multicenter study in contributing to whether a prolonged EDLOS is associated with an increased rate of adverse outcomes.
Primary outcome measures
- In-hospital Mortality [Time frame: From date of ED triage until the date of discharge or date of death from any cause, whichever came first, assessed up to 1 month]
Secondary outcome measures (1)
- Number of Adverse Events [Time frame: From date of ED triage until the date of discharge or date of death from any cause, whichever came first, assessed up to 1 month]
Eligibility criteria
Inclusion criteria
- Every patient who ever visited Emergency Department from 2011-2022
Exclusion criteria
- Patients with missing demographic (age, gender, etc.) and triage data
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
China · 1 center
- Guangdong Provincial People's Hospital — Guangzhou
Identifiers
NCT: NCT05616416 · KY-N-2022-105-01