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Completed

NCT Number: NCT03991767

Implementation and Evaluation of an Electronic Alert to Encourage Targeted Screening for HIV Infection at Foch Hospital According to Socio-demographic Criteria

In 2013 in France, 29,000 people are reported to be unaware of their HIV status. HIV testing is a priority in France where one third of all diagnoses remain late despite 5 million annual tests. It is recommended to offer at least one HIV test to the general population, over the life course, when seeking care and more frequently to populations at risk. Several international and national articles have shown that emergency screening is feasible and well accepted. But also that during systematic screening few infections were discovered, and the majority of newly diagnosed people belonged to the most exposed groups.

Our hypothesis is that an electronic alert would identify people who are unaware of their HIV status. This alert would be based on two data: social data (French health coverage) and the country of birth. This alert is only relevant in high-prevalence regions, as is the case in the Ile de France region.

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Key information

Conditions

HIV Testing

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hopital Foch

Suresnes, 92150, France

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patient hospitalized at Foch Hospital over 18 years of age.
  • Patient with AME or CMU and/or CMUc, or patient born in one of the following countries/regions: Sub-Saharan Africa, Haiti, South America, Asia, Eastern Europe, Guadeloupe, Martinique and Guyana

Exclusion criteria

  • Patient whose vital prognosis at the time of admission does not allow him/her to indicate his/her non-opposition to an HIV test.
  • Patient being followed for a known HIV infection.

Treatment and study plan

"POP-UP" electronic alert

Other

Implementation of the "POP-UP" electronic alert for all patients with eligibility criteria

Serology HIV

Diagnostic Test

Realization of HIV serology for included patients.

Primary outcomes

  1. Evaluation of HIV testing practices : screening proposal rate, patient acceptance rate and serological achievement rate

    Time frame: 18 months

    Evaluation of the practice of hospital doctors at Foch Hospital following the implementation of "POP-UP" electronic alert to encourage targeted screening for HIV infection according to specific socio-demographic criteria :

    • Screening proposal rate (= number of proposition compared to number of eligible patients).
    • Patient acceptance rate (= number of eligible patients acceptances compared to number of screening proposals).
    • Serological achievement rate (= number of serologies compared to number of eligible patients).

Secondary outcomes

  1. Study of the obstacles

    Time frame: 18 months

    Study of the obstacles encountered by clinicians in proposing screening tests induced by electronic alerting by questionnaire of satisfaction.

  2. Prospective data vs retrospective data : number of screening serologies performed

    Time frame: 18 months

    Comparison of the number of screening serologies performed in eligible inpatients by the POP-UP" electronic alert versus the retrospective data of the 12 months preceding the implementation of the alert .

  3. Newly HIV+

    Time frame: 18 months

    Number of hospitalized patients newly diagnosed HIV

  4. Positivity rate

    Time frame: 18 months

    Number of newly diagnosed HIV vs the number of serologies performed

Sponsors and collaborators

Lead sponsor

Hopital Foch

Other

Registry information

Official study title

Implementation and Evaluation of an Electronic Alert to Encourage Targeted Screening for HIV Infection at Foch Hospital According to Socio-demographic Criteria: Pilot Study

Acronym: POP-UP

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Jun 19, 2019
Registry last updated
Jan 2, 2020

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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