Advertisement

Topics

NEWS and Rapid Lactate Testing for Early Identification of High Risk Patients in the Emergency Department

2016-06-29 20:53:21 | BioPortfolio

Summary

To validate the NEWS and rapid lactate testing for early identification of high risk [triage Category 3 (urgent)] patients in the Emergency Department.

To compare qSOFA and SIRS criteria in patients in the Emergency Department.

Description

Background:

Sepsis is a potentially life-threatening complication of an infection. Early identification and early intervention are two main elements in improving patient care.

Objectives:

1. To validate the NEWS and rapid lactate testing for early identification of high risk [triage Category 3 (urgent)] patients in the Emergency Department.

2. To compare qSOFA and SIRS criteria in patients in the Emergency Department.

Study design:

This is a prospective, cohort study. Patients aged 18 or above presenting to the ED triaged as Category 3 (urgent) will be recruited. The required data for calculating NEWS will be collected at triage and triage lactate level will be measured by point-of-care analyzer.

Outcomes:

The primary outcome is referral for intensive care unit (ICU) admission during the patient's ED stay. The secondary outcomes are length of stay in hospital (LOS), hospital admission, admission to ICU, length of ICU-free admission (defined as days alive outside the ICU from admission to day 30) 30-day mortality and time to processes-of-care.

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Conditions

Triage Category 3 (Urgent)

Location

Prince of Wales Hospital
Sha Tin
NT
Hong Kong

Status

Not yet recruiting

Source

Chinese University of Hong Kong

Results (where available)

View Results

Links

Published on BioPortfolio: 2016-06-29T20:53:21-0400

Clinical Trials [176 Associated Clinical Trials listed on BioPortfolio]

Capillary and Venous Lactate in Emergency Department Patients

The objective of the present project is to study the accuracy of capillary blood level measured by handheld lactate analyzers when compared with the reference methods e.g.venepuncture bloo...

Validation of a Computerized Triage Algorithm for Ophthalmic Emergencies

The investigators conceived a computerized interactive tool for Emergency Triage, based on a patient's symptoms, medical history and background. Using this tool, the patient (alone or help...

Using Video Transmission for Telephone Triage of Children

Background The medical helpline 1813 in Copenhagen, Denmark handles telephone calls regarding non-life-threatening medical emergencies. Next to 200,000 calls/year concern children and ...

Triage Assessment and NEWS-score as Risk Predictor in Older Frailty Adults in the ED

Emergency Department Triage Systems have not been shown to sufficiently recognize frail elderly patients in need of urgent assessment and care. In this prospective, observational study the...

ICU Triage Practices in a Cancer Hospital

The primary objective of this study is aimed at analyzing the ICU triage practices of clinicians at a cancer hospital with and without the use of an algorithm-based triage tool, and to ass...

PubMed Articles [1325 Associated PubMed Articles listed on BioPortfolio]

Major incident triage and the evaluation of the Triage Sort as a secondary triage method.

A key principle in the effective management of major incidents is triage, the process of prioritising patients on the basis of their clinical acuity. In many countries including the UK, a two-stage ap...

Comparing the Accuracy of Mass Casualty Triage Systems When Used in an Adult Population.

To use a previously published criterion standard to compare the accuracy of four different mass casualty triage systems (SALT, START, Triage Sieve, and CareFlight) when used in an emergency department...

The Copenhagen Triage Algorithm is non-inferior to a traditional triage algorithm: A cluster-randomized study.

Triage systems with limited room for clinical judgment are used by emergency departments (EDs) worldwide. The Copenhagen Triage Algorithm (CTA) is a simplified triage system with a clinical assessment...

Variability in triage practices for critically ill cancer patients: A randomized controlled trial.

Intensive care triage practices and end-user interpretation of triage guidelines have rarely been assessed. We evaluated agreement between providers on the prioritization of patients for ICU admission...

Effective triage in the Pacific region: The development and implementation of the Solomon Islands Triage Scale.

The ED at the National Referral Hospital in Honiara, Solomon Islands, receives approximately 50 000 patients per year. A 2014 review of ED functioning identified deficiencies in triage processes. Pl...

Medical and Biotech [MESH] Definitions

The sorting out and classification of patients or casualties to determine priority of need and proper place of treatment.

A specific category of drugs that prevent sleepiness by specifically targeting sleep-mechanisms in the brain. They are used to treat DISORDERS OF EXCESSIVE SOMNOLENCE such as NARCOLEPSY. Note that this drug category does not include broadly-acting central nervous system stimulants such as AMPHETAMINES.

An intense, urgent, or abnormal desire or longing (for food, drugs, alcohol, etc.)

A broad category of viral proteins that play indirect roles in the biological processes and activities of viruses. Included here are proteins that either regulate the expression of viral genes or are involved in modifying host cell functions. Many of the proteins in this category serve multiple functions.

The practice of redirecting ambulances and patients seeking urgent care from one emergency department to others for various reasons such as overcrowding and shortage of skilled staff.

More From BioPortfolio on "NEWS and Rapid Lactate Testing for Early Identification of High Risk Patients in the Emergency Department"

Advertisement
Quick Search
Advertisement
Advertisement

 

Relevant Topic

Infectious-diseases
Antiretroviral Therapy Clostridium Difficile Ebola HIV & AIDS Infectious Diseases Influenza Malaria Measles Sepsis Swine Flu Tropical Medicine Tuberculosis Infectious diseases are caused by pathogenic...


Searches Linking to this Trial