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Completed

NCT Number: NCT03108807

National Early Warning Score and D-dimer to Identify Medical Patients At Low Risk of 30-day Mortality

The aim is to determine if the National Early Warning Score combined with plasma D-dimer levels can be used in risk stratification of acutely ill medical patients presenting to a Danish Emergency Department. The investigators wish to identify patients at low risk of mortality within 30 days.

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Key information

Conditions

Medical Patients in the Emergency Department Disease Attributes Emergencies Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Hospital of South West Jutland

Esbjerg, 6700, Denmark

About this study

Large increases in emergency admissions are raising concerns about whether all admissions are necessary. If there was a fast and reliable system that could be used to determine the risk of all medical patients, many low-risk patients could be safely returned to primary care or outpatient follow-up clinics.

The investigators wish to determine, if the combination of the National Early Warning Score and plasma D-dimer levels can be used to identify patients at low risk of mortality within 30 days in an unselected group of medical patients presenting to a Danish Emergency Department.

This is a prospective observational study that will be performed on adult medical patients referred to the Emergency Department of a Danish hospital to be assessed for possible admission. The study will be performed in the Emergency Department of Hospital of South West Jutland in the region of Southern Denmark.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Admission to the Emergency Department of Hospital of South West Jutland
  • Requirement of any blood test
  • Age 18 years
  • Informed consent given

Exclusion criteria

  • Age 18 years
  • Informed consent not given

Treatment and study plan

D-dimer test

Diagnostic Test

D-dimer test

Primary outcomes

  1. 30-days mortality

    Time frame: 30 days

    mortality within 30 days after assessment will be determined for all patients using data extracted from the Danish Civil Registration System patients using data extracted from the Danish Civil Registration System

Secondary outcomes

  1. Hospital length of stay (LOS)

    Time frame: 30 days

    length of stay will be calculated from the time of the patients' arrival at the hospital to the moment of the discharge for all patients using data extracted from the Danish National Patient Registry

  2. Readmissions within 30 days

    Time frame: 30 days

    readmissions within 30 days after primary assessment will be determined for all patients using data extracted from the Danish National Patient Registry

Sponsors and collaborators

Lead sponsor

Esbjerg Hospital - University Hospital of Southern Denmark

Other

Collaborators

  • University of Southern Denmark

Registry information

Official study title

Combined Use of the National Early Warning Score and D-dimer to Identify Medical Patients At Low Risk of 30-day Mortality in a Danish Emergency Department

Important dates

Study start
2017
Primary completion
2017
Study completion
2017
First posted
Apr 11, 2017
Registry last updated
Sep 19, 2024

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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