Propensity to Hospitalize Patients From the ED in European Centers.
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
- The protocol lists: no intervention.
- Who it may be relevant to
- Registry conditions: Emergency Medicine. Basic parameters: from 18 years · 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
- Italy
- 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
Propensity to Hospitalize Patients From the ED in European Centers.An Observational Retrospective Quality-of-care Study
Overview
The peer-to-peer comparison means center-to-center comparison, which requires adjusting for possible differences among centers to be fair and convincing. The first step to reach this goal is to develop a predictive model that accurately estimates each patient's probability of being admitted, starting from clinical conditions and boundary variables. Such a model would make it possible to calculate, for each ED, the expected hospitalization rate; that is, the hospitalization rate that would have been observed if the ED had behaved like the average of the EDs that provided the data to build the model itself. Comparing the observed hospitalization rate in the single ED with the expected rate derived from the model provides a rigorous method of comparing the department with the average performance, taking into account the characteristics of the patients treated and the conditions under which the ED operated. In other words, the predictive model represents the benchmark against which each ED is evaluated.
Interventions
- Other no intervention
no intervention
Primary outcome measures
- Create two separate databases [Time frame: September 2024 - September 2025]
- Multivariable models [Time frame: September 2025 - September 2026]
- Adjusted comparison [Time frame: September 2025 - September 2026]
Eligibility criteria
Inclusion criteria
- Adult
- Arrived at emergency department between 1 January 2021 and 31 December 2023
Exclusion criteria
- None
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Study design
- Observational model
- Cohort
Study locations
Italy · 2 centers
- Ospedale San Giovanni Bosco — Torino
- Ospedale Sant'Andrea — Vercelli
Identifiers
NCT: NCT06354764 · 8780-UC1