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OpenTrials
Completed

NCT Number: NCT07405073

Advanced Practice Nurse Specializing in Emergency Care and Post-emergency Consultation: Feasibility Study

Emergency departments are facing increasing overload, exacerbated by difficulties in accessing primary care. This saturation impacts the fluidity of care pathways and the quality of care.

A major challenge is the high rate of short-term repeat visits, which increases the workload. These early returns may be due to an unexpected change in the patient's condition, but also to the difficulty of obtaining a quick appointment with a general practitioner, due to a shortage of practitioners or a lack of available slots within a few days.

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Key information

Conditions

Healthcare Access

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

CHR Metz-Thionville

Metz, 57085, France

About this study

In this context, the implementation of a Post-Emergency Consultation by an Advanced Practice Nurse could be a solution to improve patient follow-up and limit these avoidable return visits.

Main objective: Identify the profiles of patients who return for a second consultation within 15 days of their first visit to the emergency department.

Secondary objectives:

  • Describe the characteristics of these patients (age, gender, medical history, pathologies, reasons for the initial consultation, reasons for the repeat consultation).
  • Analyze medical records to assess whether a post-emergency consultation by an APN could have prevented this repeat consultation.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients who visited the emergency department at 15-day intervals during the study period

Exclusion criteria

  • Patients hospitalized at the time of the first consultation

Treatment and study plan

Primary outcomes

  1. Percentage patients who return for a second consultation

    Time frame: 15 days

    Percentage of patients who return for a second consultation within 15 days of their first visit to the emergency department and prifile of patients

Sponsors and collaborators

Lead sponsor

Centre Hospitalier Régional Metz-Thionville

Other

Registry information

Official study title

Advanced Practice Nurse Specializing in Emergency and Post-emergency Care: Towards Improved Unscheduled Care?

Acronym: CPU - IPA

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Feb 12, 2026
Registry last updated
Feb 12, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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