Идёт набор NCT06558487

The Internal Prospective Validation of the Cancer Admission Score (CAS) Prediction Model

— Наблюдательное Oncology

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: Cancer Admission Score Prediction Model.
Кому может быть актуально: Состояния в реестре: Oncology. Базовые параметры: от 18 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: Нидерланды
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

The Internal Prospective validatiON of a prediCtiOn Model for the Change of admIssion for Patient With caNcer Admitted to the emerGency Department (ONCOMING Study)

Обзор

The goal of this single center prospective observational study is to determine the agreement between the cancer admission score (CAS) predicted disposition and the actual disposition in patients with an active cancer diagnosis visiting the emergency department (ED). The main question it aims to answer are: Is the performance of the CAS good enough to play a potential role in the ED care process. For each participant the CAS will be calculated and compared to the actual outcome.

Подробное описание

The first part of this study is an observational part. For patients with cancer that are presented to the emergency department (ED) the cancer admission score (CAS) will be calculated by the model both after triage and after the first blood results are in. Furthermore, the expected disposition will be asked to the attending nurse after triage and after the first blood results. Finally, the actual disposition will be written down after the patient has left the ED, in combination with ED length of stay (LOS) and the time for the attending physician to reach a decision about the disposition (time-to-disposition) and the time for a patient to leave the ED (time-to-leave).

The second part is the interventional part. In this part we introduce an early bed reservation intervention. The CAS is still calculated for the patient. If the CAS is 80% or higher based on the triage, the attending physician will be alerted and a call to the bed coordinator will be placed to reserve a bed in advance. After the first blood results are known the second CAS will be calculated, if this drops below 70% the reserved bed can be canceled by the attending physician. Similar to the first part, the expected disposition from the attending nurse after triage and after first blood results will be collected. Finally, the actual disposition, ED LOS, time-to-disposition and time-to-leave will be noted.

Вмешательства

Другое Cancer Admission Score Prediction Model
A prediction model that calculates the chance for a patient to be admitted after triage and after first blood results

Первичные конечные точки

Cancer Admission Score [Срок оценки: Through study completion, an average of 6 months]
Disposition [Срок оценки: Through study completion, an average of 6 months]
Agreement between the CAS and the actual disposition [Срок оценки: Through study completion, an average of 6 months]

Вторичные конечные точки (4)

Agreement between expected disposition by nurse and actual disposition [Срок оценки: Through study completion, an average of 6 months]
time-to-disposition [Срок оценки: Through study completion, an average of 6 months]
time-to-leave [Срок оценки: Through study completion, an average of 6 months]
ED Length of Stay [Срок оценки: Through study completion, an average of 6 months]

Критерии участия

Критерии включения

Patients with solid or hematological malignancies and receiving systemic therapy or having received systemic therapy within the last 3 months.
Presented at or admitted from the emergency department for the oncology, hematology neuro- or lung-oncology clinical unit.