Trial document




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  DRKS00011930

Trial Description

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Title

Emergency and Acute Care for Respiratory Diseases beyond Sectoral Separation

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Trial Acronym

EMACROSS

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URL of the Trial

https://emanet.charite.de

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Brief Summary in Lay Language

Background: Not all patients treated in emergency departments are admitted to inpatient care. Patients with respiratory diseases receive outpatient care quite frequently. It is still in question why emergency departments - in contrast to general practitioners (GPs) - are consulted in such cases. Deficits in ambulatory care structures may play a role here.

Objective: We want to describe patient characteristics in detail, assess their motivations and experiences, and additionally analyze care process data. Continuous care by GPs and its potential impact on emergency department consultations are of special interest.

Study population: Patients with respiratory symptoms receiving care in participating emergency departments in Berlin.

Patients are surveyed regarding their illness, health care utilization and psychosocial factors. In-depth interviews will be conducted with a subsample of participants. Additionally, hospital data and health insurance data will be analyzed.

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Brief Summary in Scientific Language

Background: EMACROSS is a sub-project of the Emergency and Acute Medicine Network for Health Care Research in Berlin (EMANet). All sub-projects (EMACROSS, EMASPOT, EMAAge) focus on the interaction between outpatient and inpatient care and aim to analyze care patterns of emergency patients as well as the underlying reasons and motivations. EMANet centers on so-called “ambulatory care sensitive conditions” (ACSC), which could potentially be managed appropriately by ambulatory care. EMACROSS evaluates care for patients with respiratory diseases – especially acute infections – who are frequently treated as outpatients in emergency departments.

Objective: Description of the target population (in regard to medical, demographic and psychosocial characteristics and their motivations and experiences), identification of factors influencing utilization of emergency care and subsequent health care structures, investigation of primary and secondary data on care processes.

Study population: patients with respiratory symptoms receiving care in participating emergency departments in Berlin.

Study design: Mixed-methods approach including a) collection of primary data via quantitative questionnaire in a prospective cohort (t0: emergency department consultation, t1: 3-month follow-up), b) guideline-based semi-structured qualitative interviews with a subsample of 15-20 patients and additional expert interviews with 15-20 general practitioners, c) interdisciplinary focus group interviews with care providers. Complementary, we will analyze d) hospital information system (HIS) data and e) secondary data (insurance data).

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Do you plan to share individual participant data with other researchers?

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Description IPD sharing plan:

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Organizational Data

  •   DRKS00011930
  •   2017/04/25
  •   [---]*
  •   yes
  •   Approved
  •   EA1/361/16, Ethik-Kommission der Charité -Universitätsmedizin Berlin-
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Secondary IDs

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Health Condition or Problem studied

  •   J09-J18 -  Influenza and pneumonia
  •   J20-J22 -  Other acute lower respiratory infections
  •   J40-J47 -  Chronic lower respiratory diseases
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Interventions/Observational Groups

  •   Patients with respiratory symptoms receiving care in an emergency department (two-stage questionnaire survey, during emergency department consulation and 3-month follow-up), supplementary qualitative study module (interviews with a subsample of 15-20 patients, expert interviews with 15-20 general practitioners, interdisciplinary focus group interviews with care providers) and secondary data analysis (hospital information system (HIS) data and insurance data).
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Characteristics

  •   Non-interventional
  •   Other
  •   Single arm study
  •   Open (masking not used)
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  •   Uncontrolled/Single arm
  •   Health care system
  •   Single (group)
  •   N/A
  •   [---]*
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Primary Outcome

Medical, demographic and psychosocial characteristics of the target population (project-specific questionnaire), health care utilization before and after emergency department consultation (project-specific questionnaire), times of assessment t0: emergency department consultation, t1: 3-month follow-up.

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Secondary Outcome

Motivations and experiences of patients (qualitative, interviews targeted within 2 weeks after emergency department consultation), perspective of health care providers (qualitative).

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

  • Medical Center 
  • Medical Center 
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Recruitment

  •   Actual
  •   2017/06/01
  •   700
  •   Multicenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   18   Years
  •   no maximum age
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Additional Inclusion Criteria

Treatment in a participating EMANet emergency department during the term of the study due to respiratory symptoms.

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Exclusion Criteria

Limited or absent ability to give informed consent, lack of competency in one of the survey languages.

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Addresses

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    • Institut für Allgemeinmedizin, Charité - Universitätsmedizin Berlin
    • Mr.  Prof. Dr.  Christoph  Heintze 
    • Charitéplatz 1
    • 10117  Berlin
    • Germany
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    • EMANet-Sprecher/EMANet coordinating investigator, Notfallmedizin/Rettungsstellen und Chest Pain Units Campus Virchow-Klinikum (CVK) und Campus Charité Mitte (CCM), Charité - Universitätsmedizin Berlin
    • Mr.  Prof. Dr.  Martin  Möckel 
    • Augustenburger Platz 1
    • 13363  Berlin
    • Germany
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    • EMANet-Sprecherin/EMANet coordinating investigator, Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Charité - Universitätsmedizin Berlin
    • Ms.  Prof. Dr.  Adelheid  Kuhlmey 
    • Luisenstraße 57
    • 10117  Berlin
    • Germany
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    • EMACROSS-Projektleiter/EMACROSS principal investigator, Institut für Allgemeinmedizin, Charité - Universitätsmedizin Berlin
    • Mr.  Prof. Dr.  Christoph  Heintze 
    • Charitéplatz 1
    • 10117  Berlin
    • Germany
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    • Institut für Allgemeinmedizin, Charité - Universitätsmedizin Berlin
    • Mr.  Dr.  Felix  Holzinger 
    • Charitéplatz 1
    • 10117  Berlin
    • Germany
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Sources of Monetary or Material Support

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    • Bundesministerium für Bildung und Forschung Dienstsitz Bonn
    • Heinemannstr. 2
    • 53175  Bonn
    • Germany
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Status

  •   Recruiting complete, follow-up complete
  •   2019/03/24
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Trial Publications, Results and other Documents

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* This entry means the parameter is not applicable or has not been set.