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NCT Number: NCT06315842

Levels of Diagnostic and Therapeutic Intervention in Hospitalized Patients

The objective of this clinical trial is to investigate the impact of implementing a tool for adjusting the level of diagnostic and therapeutic intensity in the clinical practice of physicians attending hospitalized patients.

The goal of this clinical trial is to investigate the impact of a tool for adjusting diagnostic and therapeutic intensity in hospitalized patients. The main question it aims to answer is: Is there a difference in patient mortality when using the aforementioned tool? The participating physicians will be grouped into 4 groups (5 physicians each). Each group will progressively (every 3 months) incorporate the use of the aforementioned tool into their usual clinical practice.

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Key information

Conditions

Acute Disease Disease Attributes Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Physician belonging to the non-surgical medical area.
  • Routine clinical activity on a hospital ward caring for hospitalized patients.

Exclusion criteria

  • Physician belonging to the Oncology-Hematology/Palliative Care Hospitalization Unit.
  • Refusal to participate in the study.

Treatment and study plan

Levels of Diagnostic and Therapeutic Intervention tool by Fontecha and col.

Other

During the intervention periods, participating physicians will integrate into their usual clinical practice a tool for adjusting diagnostic and therapeutic intensity designed by Fontecha-Gómez and colleagues. The tool for adjusting the level of diagnostic and therapeutic intensity classifies patients' profiles into 5 groups based on the recommended level of adjustment.

usual clinical practice

Other

The participating physicians will carry out the standard clinical practice currently performed in the study centers. This means that during this period, the diagnostic and therapeutic adjustment tool or any similar tool will not be introduced into routine clinical practice.

Primary outcomes

  1. In-hospital Patient Mortality at 90 days from hospital discharge

    Time frame: 90 days from hospital discharge

    Percentage of patients who die during hospitalization until 90 days from hospital discharge.

Secondary outcomes

  1. In-hospital Patient Mortality at 6 months from hospital discharge

    Time frame: 6 months from hospital discharge

    Percentage of patients who die during hospitalization until 6 months from hospital discharge.

  2. In-hospital Patient Mortality at 1 year from hospital discharge

    Time frame: 1 year from hospital discharge

    Percentage of patients who die during hospitalization until 1 year from hospital discharge.

  3. Delirium Incidence

    Time frame: hospital discharge, assessed up to day 90

    Percentage of patients with delirium occurrence during hospital admission (delirium already present at the time of admission will not be considered). Delirium will be evaluated through Confusion Assessment Method (CAM)

  4. Pressure Ulcer Incidence

    Time frame: hospital discharge, assessed up to day 90

    Percentage of patients with pressure ulcer occurrence during hospital admission (pressure ulcers already present at the time of admission will not be considered).

  5. Hospital stay

    Time frame: hospital discharge, assessed up to day 90

    Hospital stay in days

  6. Hospital readmission for any reason

    Time frame: 30 days from hospital discharge

    Percentage of patients readmitted for any reason within 30 days of hospital discharge.

  7. Hospital readmission for same reason

    Time frame: 30 days from hospital discharge

    Percentage of patients readmitted for the same reason within 30 days of hospital discharge.

  8. Patients admitted to the Intensive Care Unit (ICU)

    Time frame: hospital discharge, assessed up to day 90

    Percentage of patients admitted to the ICU during hospitalization

  9. Calls to the "on-call doctor"

    Time frame: hospital discharge, assessed up to day 90

    Number of calls to the "on-call doctor" during hospital admission

  10. Healthcare expenditure

    Time frame: through study completion, an average of 1.5 years

    Descriptive analysis of healthcare expenditure associated with each intervention, using the billing data from the center.

  11. Mortality at ICU

    Time frame: hospital discharge, assessed up to day 90

    Percentage of patients admitted to the ICU

Study contacts

Contact information is provided by the study sponsor or research team.

Helena Camell

CONTACT

[email protected]

+34 938960025 ext. 46048

Noemi Casaponsa

CONTACT

[email protected]

+34 938960025 ext. 43197

Sponsors and collaborators

Lead sponsor

Consorci Sanitari de l'Alt Penedès i Garraf

Other

Registry information

Official study title

Levels of Diagnostic and Therapeutic Intervention in Hospitalized Patients. Cluster-Randomized and Stepped-Wedge Clinical Trial

Acronym: NIT

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Mar 18, 2024
Registry last updated
Dec 5, 2025

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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