Evaluation of the Quality of Care in the Emergency Department by Studying the Appropriateness of Hospitalizations
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: Quality of Care, Evaluation, Emergency Department, Appropriateness. 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
Evaluation of the Quality of Care in the Emergency Department by Studying the Appropriateness of Hospitalizations: Validation of an Algorithm Based on Computerized Hospital Databases
Overview
The aim of this study is to develop, study and validate a rigorous and sustainable method for assessing the clinical appropriateness of the decision taken in the Emergency Department to admit or not to admit patients.
Detailed description
The information normally recorded in the Emergency Department medical record will be used, as well as the available clinical and administrative databases. For reasons of feasibility, the investigators will also restrict the analysis to patients coming to the Emergency Department with non-specific manifestations in the pulmonary, cardiovascular and abdominal districts, represented by one or more of the following symptoms: dyspnoea, chest pain, transient loss of consciousness, abdominal pain.
Primary outcome measures
- Qualitative validation and first refinement of the classification algorithm [Time frame: From August 2025 to November 2025]
- Quantitative validation and second refinement of the classification algorithm [Time frame: From September 2025 to October 2026]
- Application of the algorithm to all eligible patients [Time frame: From November 2026 to Dicember 2026]
- Feasibility of assessing the appropriateness of discharge from the emergency room [Time frame: From November 2026 to June 2027]
Eligibility criteria
Inclusion criteria
All patients aged 18 years and over who arrived at participating centres between 1 January 2023 and 31 December 2024.
Exclusion criteria
All patients under 18 years of age arriving at participating centers between January 1, 2023 and December 31, 2024 and all patients arriving at participating centers outside the time frame January 1, 2023 - December 31, 2024.
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
Italy · 7 centers
- AOU SS. Antonio e Biagio e Cesare Arrigo — Alessandria
- A.O. S. Croce e Carle — Cuneo
- Ospedale Maggiore della Carità — Novara
- Ospedale S. Giacomo — Novi Ligure
- Ospedale San Luigi Gonzaga — Orbassano
- Ospedale degli Infermi — Rivoli
- Ospedale San Giovanni Bosco — Torino
Identifiers
NCT: NCT06846879 · STAR