Emergency Services, PsychiatricNCT02581267
Missed Serious Medical Illness in Psychiatric Patients Seen in an Academic Emergency Department
An observational study of Emergency Services, Psychiatric, run by Western University, Canada.
Trial summary
Psychiatric presentations are common in the emergency department (ED), and determining whether or not a psychiatric presentation is due to medical illness can be a difficult task for the emergency physician. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Emergency Services, Psychiatric
- How many people
- 800 participants
- Where
- No sites listed yet
- Study dates
- Oct 2015to Dec 2015
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Adults emergency room patients referred to adult psychiatry by the emergency physician
Who may be able to join
- All patients greater than or equal to 18 years of age presenting to London Health Sciences Centre, Victoria Hospital emergency department between October 1, 2014 - July 31, 2015 who were referred to adult psychiatry by the emergency physician.
Who cannot join
- None
About this study
Psychiatric presentations are common in the emergency department (ED), and determining whether or not a psychiatric presentation is due to medical illness can be a difficult task for the emergency physician. The investigators define "serious medical illness" (SMI) as a pathological condition that would necessitate inpatient treatment on a medical or surgical ward. It is important for patient safety that SMI be triaged by the emergency physician to the appropriate inpatient service. The rate of missed SMI in patients with psychiatric presentations to the ED is unknown. The investigators will research missed SMI in patients referred to adult psychiatry from the ED, with the intent to improve patient safety.
- Conditions
- Emergency Services, Psychiatric
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of patients admitted to a medical / surgical service within 7 days of psychiatry referral in the emergency department
Measured: Approximately 8 months
Medical / surgical admission diagnosis
This will be extracted from the electronic medial record.
Measured: Approximately 8 months
Number of days after psychiatric referral that patient is admitted to medical / surgical service
Measured: Approximately 8 months
Secondary outcomes (3)
Proportion of patients discharged home from the emergency department by psychiatry following referral by the emergency physician
Measured: Approximately 8 months
Risk factors associated with medical / surgical admission after initial psychiatry referral
The investigators will be extracting variables from the patient's chart including triage vital signs, past medical and psychiatric history, initial laboratory bloodwork, and determining if any of these are risk factors for subsequent medical / surgical admission.
Measured: Approximately 8 months
Number of admissions to medical / surgical service within 30 days of discharge from psychiatry
Measured: Approximately 8 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Oct 2015 (estimated)
- Study startOct 2015
- Primary completionDec 2015 (estimated)
- Study completionDec 2015 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Emergency Services, PsychiatricStudies of the same condition, open and under way.
- More trials run by Western University, CanadaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Retrospective
- Enrolment
- 800 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Western University, Canada
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Chris Poss, Western University, Canada
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02581267
- Sponsor's protocol ID
- 107073
- Status last verified
- Oct 2015
- First submitted
- 8 Aug 2015
- Last updated
- 20 Oct 2015
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Oct 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Missed Serious Medical Illness in Psychiatric Patients Seen in an Academic Emergency Department
- ClinicalTrials.gov ID
- NCT02581267
- Acronym / sponsor ID
- 107073
- Conditions
- Emergency Services, Psychiatric
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 800 participants (estimated)
- Lead sponsor
- Western University, CanadaUniversity, hospital or other
- Study start
- Oct 2015
- Primary completion
- Dec 2015 (estimated)
- Study completion
- Dec 2015 (estimated)
- First posted
- 20 Oct 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Psychiatric presentations are common in the emergency department (ED), and determining whether or not a psychiatric presentation is due to medical illness can be a difficult task for the emergency physician. The investigators define "serious medical illness" (SMI) as a pathological condition that would necessitate inpatient treatment on a medical or surgical ward. It is important for patient safety that SMI be triaged by the emergency physician to the appropriate inpatient service. The rate of missed SMI in patients with psychiatric presentations to the ED is unknown. The investigators will research missed SMI in patients referred to adult psychiatry from the ED, with the intent to improve patient safety.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Adults emergency room patients referred to adult psychiatry by the emergency physician
Key inclusion criteria (1 listed)
- All patients greater than or equal to 18 years of age presenting to London Health Sciences Centre, Victoria Hospital emergency department between October 1, 2014 - July 31, 2015 who were referred to adult psychiatry by the emergency physician.
Key exclusion criteria (1 listed)
- None
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Number of patients admitted to a medical / surgical service within 7 days of psychiatry referral in the emergency department
Time frame: Approximately 8 months
Medical / surgical admission diagnosis
Time frame: Approximately 8 months
This will be extracted from the electronic medial record.
Number of days after psychiatric referral that patient is admitted to medical / surgical service
Time frame: Approximately 8 months
3 secondary outcomes
Proportion of patients discharged home from the emergency department by psychiatry following referral by the emergency physician
Time frame: Approximately 8 months
Risk factors associated with medical / surgical admission after initial psychiatry referral
Time frame: Approximately 8 months
Number of admissions to medical / surgical service within 30 days of discharge from psychiatry
Time frame: Approximately 8 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Oct 2015.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
An observational study of Emergency Services, Psychiatric, run by Western University, Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 20 Oct 2015. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of patients admitted to a medical / surgical service within 7 days of psychiatry referral in the emergency department (time frame: Approximately 8 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Oct 2015.