[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"ambulatory-care\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:ambulatory-care":30},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,5,0,[8,55,88,113,138],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":31,"overallStatus":42,"whyStopped":4,"lastUpdateSubmitDate":43,"lastUpdatePostDateStruct":44,"startDateStruct":47,"completionDateStruct":49,"leadSponsor":51,"locationsCount":54},"100616230","ambient-ai-scribe-voa-health-in-outpatient-clinics-draft-notes-documentation-burden-and-well-being-100616230",false,"NCT07302906","Ambient AI Scribe (Voa Health) in Outpatient Clinics: Draft Notes, Documentation Burden, and Well-Being","The SOAR Trial (Scribe Optimization for Ambulatory Records): Ambient Artificial Intelligence Scribe With Voa Health for Generating Medical Documentation From Outpatient Visit Audio - A Randomized Controlled Trial","SOAR","Inclusion Criteria:\n\nPatients:\n\n1. Adults (≥18 years) attended at the participating outpatient clinics of the Hospital de Clínicas - Federal University of Paraná during the study period.\n2. Under the care of a physician participating in the trial.\n3. Ability to understand Portuguese and provide informed consent for the audio recording of the consultation and completion of brief questionnaires.\n4. Ability to complete post-consultation questionnaires during interview.\n\nPhysicians:\n\n1. Resident physicians working in the participating outpatient clinics.\n2. Use of the hospital's electronic medical record in routine care practice.\n3. Agreement to the audio recording of consultations and to the completion of brief questionnaires after each included encounter.\n\nStudent Researchers:\n\n1. Medical students or undergraduate health science students linked to the research project.\n2. Trained in patient registration, collection of Informed Consent (ICF), and administration of questionnaires to the patient on the Infinity Research platform.\n\nExclusion Criteria:\n\n1. Patients under 18 years of age.\n2. Emergency consultations, urgent care, or inpatient care.\n3. Patients with significant cognitive impairment, acute distress, or clinical instability that, in the opinion of the treating physician, precludes providing consent or completing questionnaires, except when accompanied by a legal guardian capable of providing consent on their behalf.\n4. Patients under legal guardianship or who, for any reason, cannot provide consent on their own, except when the guardian or legal representative is present and can provide informed consent.\n5. Consultations where either the patient or the physician refuses audio recording or participation in the study.\n6. Consultations where the AI system is unavailable or malfunctioning (applicable only for protocol adherence analyses).","ALL","18 Years",{"count":20,"type":21},300,"ESTIMATED","INTERVENTIONAL",[24],"NA","The goal of this randomized clinical trial is to learn whether an \"ambient AI scribe\" (Voa Health) can reduce documentation burden and improve physician well-being and patient experience in outpatient clinics. The AI scribe listens to the audio of the consultation and produces a draft of the clinical note that the physician reviews and edits.\n\nIn this study, consultations are randomized to 2 groups: usual documentation (without AI) or documentation assisted by the AI scribe. Adult patients seen in participating clinics, and their physicians, are invited to take part. For both groups, the consultation audio is recorded and, at the end of the visit, physicians and patients complete short questionnaires about well-being, workload, communication, empathy, and satisfaction. The questionnaires are based on internationally used scales (such as PFI, Mini-Z, NASA-TLX, CARE, PSQ-18, and CAT) but adapted to keep them brief and feasible in routine care.\n\nThe main questions are whether the AI scribe lowers the time and effort needed to document the visit, improves physician professional fulfillment and reduces burnout, and whether it affects how patients perceive the communication, empathy, and overall quality of the consultation. No drugs or devices are being tested. The results are expected to guide hospitals on the safe and effective use of ambient AI scribes in real-world clinical practice.",[27,28,29,30],"Burnout, Professionals","Medical Records Systems, Computerized","Physician-Patient Relations","Ambulatory Care",[32,33,34,35,36,37,38,39,40,41],"ambient AI scribe","artificial intelligence","clinical documentation","medical note generation","electronic health record","physician well-being","documentation burden","patient experience","outpatient clinics","randomized controlled trial","RECRUITING","2026-03-31",{"date":45,"type":46},"2026-04-01","ACTUAL",{"date":48,"type":46},"2025-01-05",{"date":50,"type":21},"2026-06-28",{"name":52,"class":53},"Pedro Angelo Basei de Paula","OTHER",1,{"id":56,"slug":57,"hasResults":11,"nctId":58,"briefTitle":59,"officialTitle":60,"acronym":61,"eligibilityCriteria":62,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":63,"enrollmentInfo":64,"targetDuration":4,"studyType":22,"phases":66,"briefSummary":67,"conditions":68,"keywords":72,"overallStatus":77,"whyStopped":4,"lastUpdateSubmitDate":78,"lastUpdatePostDateStruct":79,"startDateStruct":81,"completionDateStruct":83,"leadSponsor":85,"locationsCount":87},"100552324","impact-of-ambulatory-management-for-primary-spontaneous-pneumothorax-in-the-emergency-department-on-quality-of-life-100552324","NCT06471608","Impact of Ambulatory Management for Primary Spontaneous Pneumothorax in the Emergency Department on Quality of Life","Impact of Ambulatory Management for Primary Spontaneous Pneumothorax in the Emergency Department on Quality of Life: a Randomized Clinical Trial","EFFI-PNO","Inclusion Criteria:\n\n* Patients aged 18 to 50 years presenting to the emergency department with a 1st episode of right or left primary spontaneous pneumothorax (PSP) of large abundance diagnosed by chest X-ray or CT scan defined according to British Thoracic Society (BTS) recommendations as a detachment greater than 2 cm over the entire height of the axillary line.\n* Patient living less than an hour from hospital and able to be accompanied for the first 48 hours\n* Patient able to understand the aims and risks of the research and to give informed, dated and signed consent\n* Patient with Internet access and able to complete online questionnaires\n* Patient affiliated to or benefiting from a social health insurance\n\nExclusion Criteria:\n\n* Small pneumothorax (≤ 2cm)\n* Suffocating pneumothorax defined by the presence of signs of respiratory distress or hemodynamic failure with indication for emergency exsufflation\n* Patient on emergency oxygen or long-term oxygen therapy\n* Traumatic pneumothorax\n* Secondary spontaneous pneumothorax\n* Bilateral pneumothorax\n* Associated fluid effusion\n* Risk-benefit balance unfavorable to outpatient treatment (comorbidities, isolated patient, difficulty understanding monitoring instructions)\n* Patient living more than one hour from hospital\n* Patients living alone or unable to be accompanied on discharge for the first 48 hours\n* Patients under legal protection\n* Pregnant or breast-feeding women\n* Patient participating in a therapeutic interventional clinical trial or in a period of exclusion linked to previous participation in a clinical trial","50 Years",{"count":65,"type":21},386,[24],"Outpatient treatment of Primary Spontaneous Pneumothorax (PSP) compared to usual inpatient management could improve quality of care and represent a more efficient, generalizable and sustainable strategy.\n\nThis multicenter, cluster-controlled, randomized interventional study with stepped wedge implementation will evaluate the impact on quality of life (between inclusion, after drain placement, and 6 months) of an ambulatory strategy for the management of large abundance primary spontaneous pneumothorax in the emergency department, compared with usual care.",[69,70,30,71],"Primary Spontaneous Pneumothorax","Quality of Life","Chest Tube",[73,74,75,76],"Chest tube drainage","Primary spontaneous pneumothorax","Ambulatory management","Quality of life","NOT_YET_RECRUITING","2025-11-20",{"date":80,"type":46},"2025-11-26",{"date":82,"type":21},"2025-12-01",{"date":84,"type":21},"2030-07",{"name":86,"class":53},"University Hospital, Strasbourg, France",7,{"id":89,"slug":90,"hasResults":11,"nctId":91,"briefTitle":92,"officialTitle":92,"acronym":93,"eligibilityCriteria":94,"healthyVolunteers":11,"sex":95,"minAge":18,"maxAge":4,"enrollmentInfo":96,"targetDuration":4,"studyType":22,"phases":98,"briefSummary":99,"conditions":100,"keywords":4,"overallStatus":42,"whyStopped":4,"lastUpdateSubmitDate":103,"lastUpdatePostDateStruct":104,"startDateStruct":106,"completionDateStruct":108,"leadSponsor":110,"locationsCount":112},"100579296","prospective-comparative-study-evaluating-the-early-complications-of-robot-assisted-radical-prostatectomy-performed-as-an-outpatient-versus-an-inpatient-procedure-100579296","NCT06822452","Prospective Comparative Study Evaluating the Early Complications of Robot-assisted Radical Prostatectomy Performed as an Outpatient Versus an Inpatient Procedure.","PROSTAMBU","Inclusion Criteria:\n\n* Male, aged 18 and over\n* Patient with prostate cancer for which the multidisciplinary meeting has proposed radical prostatectomy as a therapeutic option (with or without lymphadenectomy)\n* Patient eligible for outpatient treatment :\n\n  1. The patient undertakes to comply with all medical instructions given during surgical consultations and the anaesthetic consultation.\n  2. The patient has access to personal transport allowing, if necessary, return to the facility or another approved facility (transport time and distance from the facility are not exclusion factors)\n  3. The patient has access to telephone communication facilities.\n  4. The patient undertakes not to drive a vehicle and to be accompanied on his return home and for the next 24 hours by a responsible person who will be familiar with the monitoring instructions.\n  5. The patient plans to remain in hospital overnight if this is deemed necessary by the department's doctors (operator and anaesthetist). The patient accepts this mode of care and its constraints.\n* Participant affiliated to or benefiting from a social security scheme\n* The participant has been informed and has given his\u002Fher free, informed and written consent (at the latest on the day of inclusion and before any examination required by the research).\n\nExclusion Criteria:\n\n* Patient already treated for prostatic carcinoma with brachytherapy, radiotherapy or focal therapy\n* Patient participating in ongoing research or in a period of exclusion at the time of inclusion\n* Refusal or inability to comply with the study protocol for any reason whatsoever\n* Protected participant: adult under guardianship, curatorship or other legal protection, deprived of liberty by judicial or administrative decision.","MALE",{"count":97,"type":21},510,[24],"The goal of this clinical trial is to demonstrate that outpatient management for robotic-assisted radical prostatectomy is not inferior to inpatient management in terms of the occurrence of early post-operative complications.\n\nResearchers will compare outpatient robot-assisted radical prostatectomy to inpatient procedure.\n\nParticipants will:\n\n* Visit the clinic after the operation once at 45 days, 6 months and once a year for up to 5 years for check-ups and tests.\n* Answer survey questions about urinary and erectil functions, stress and anxiety, satisfaction, quality of life for 6 months\n* Keep a diary to record procedures and treatments related to the care provided",[101,30,102],"Prostate Cancer Surgery","Outpatient Surgery","2025-07-07",{"date":105,"type":46},"2025-07-08",{"date":107,"type":46},"2024-12-30",{"date":109,"type":21},"2030-04-30",{"name":111,"class":53},"Elsan",12,{"id":114,"slug":115,"hasResults":11,"nctId":116,"briefTitle":117,"officialTitle":118,"acronym":119,"eligibilityCriteria":120,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":121,"targetDuration":4,"studyType":22,"phases":123,"briefSummary":124,"conditions":125,"keywords":4,"overallStatus":42,"whyStopped":4,"lastUpdateSubmitDate":129,"lastUpdatePostDateStruct":130,"startDateStruct":132,"completionDateStruct":134,"leadSponsor":136,"locationsCount":54},"100522456","evaluation-of-the-hemodynamic-effect-of-dexmedetomidine-in-scheduled-outpatient-surgery-100522456","NCT06082856","Evaluation of the Hemodynamic Effect of Dexmedetomidine in Scheduled Outpatient Surgery","Evaluation of the Hemodynamic Effect of Dexmedetomidine in Scheduled Outpatient Surgery: Single-center Prospective Randomized Double-blind Non-inferiority Study.","DEXCOEUR","Inclusion Criteria:\n\n* Patient with scheduled surgery under general anesthesia for one of the following: oral, orthopedic, urological, digestive and gynecological surgeries.\n* The patient must have given their free and informed consent and signed the consent form\n* The patient must be a member or beneficiary of a health insurance plan\n\nExclusion Criteria:\n\n* The subject is in a period of exclusion determined by a previous study\n* The subject is unable to give consent\n* It is impossible to give the subject informed information\n* The patient is under safeguard of justice or state guardianship\n* Patient with a known allergy to dexmedetomidine or other drugs.\n* Patient with a contraindication to general anesthesia or outpatient management.\n* Patient treated with beta-blocker, ACE inhibitor or ARB2\n* Patient with an ASA4 score.\n* Patient with HR \\\u003C 50 bpm.\n* Patient with the following cardiovascular comorbidities: coronary insufficiency, obstructive cardiomyopathy, severe hypertension, ventricular rhythm or conduction disorder.\n* Patient with hepatic (prothrombin rate \\\u003C 70%, liver enzyme\u002FBilirubin X 3) and\u002For renal (clearance \\\u003C 50 ml.min) insufficiency.\n* Pregnant, parturient or nursing patient",{"count":122,"type":21},594,[24],"Ambulatory surgery is increasingly used in anesthesia. In case of general anesthesia, it is recommended to use anesthesia molecules with a short half-life and low doses of opiates to ensure a rapid awakening and to prevent nausea and vomiting by systematic administration of anti-emetics during the operation.\n\nOpiates (including sufentanil) have recently been called into question because of the nausea and vomiting and the delay in waking up induced by these molecules. To combat these side effects, the authors have proposed either to reduce the doses or to substitute them with dexmedetomidine, a sedative antihypertensive drug. Recent studies have demonstrated that opiates used in general anesthesia can be replaced by dexmedetomidine. However, literature data are controversial concerning the hemodynamic impact. No study has compared the hemodynamic profile of opioid-free anesthesia with dexmedetomidine versus conventional anesthesia with opioids.\n\nThe ambulatory context lends itself to the use of dexmedetomidine because it is aimed at a population without strong cardiac pathology, concerns non-major interventions, with the need to optimize pain and side effects.\n\nThe study authors therefore wish to compare the effects of induction of general anesthesia with low-dose Dexmedetomidine versus sufentanil, on post-induction hemodynamic stability in scheduled outpatient surgeries. The investigators hypothesize that hemodynamic stability at induction of general anesthesia with low-dose dexmedetomidine is not inferior to that obtained with sufentanil in scheduled ambulatory surgeries.",[126,127,128,30],"Anesthesia","Dexmedetomidine","Hemodynamics","2025-06-04",{"date":131,"type":46},"2025-06-06",{"date":133,"type":46},"2023-10-19",{"date":135,"type":21},"2026-02",{"name":137,"class":53},"Centre Hospitalier Universitaire de Nīmes",{"id":139,"slug":140,"hasResults":11,"nctId":141,"briefTitle":142,"officialTitle":142,"acronym":4,"eligibilityCriteria":143,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":144,"targetDuration":4,"studyType":146,"phases":4,"briefSummary":147,"conditions":148,"keywords":4,"overallStatus":42,"whyStopped":4,"lastUpdateSubmitDate":152,"lastUpdatePostDateStruct":153,"startDateStruct":155,"completionDateStruct":157,"leadSponsor":159,"locationsCount":87},"100507844","the-right-care-for-the-right-patient-at-the-right-time-by-the-right-provider-a-value-based-comparison-of-the-management-of-ambulatory-patients-with-acute-health-concerns-in-walk-in-clinics-primary-care-physician-practices-and-emergency-departments-100507844","NCT05892666","The Right Care, for the Right Patient, at the Right Time, by the Right Provider: A Value-based Comparison of the Management of Ambulatory Patients With Acute Health Concerns in walk-in Clinics, Primary Care Physician Practices and Emergency Departments","We shall include patients:\n\n1. aged 18 years and over;\n2. seen in person or via telemedicine in an ED, a walk-in clinic, or the primary care practice where they are registered;\n3. ambulatory during the entire visit or consultation;\n4. with one of the following presenting complaints:\n\n   1. acute diarrheas, defined as at least one day (24h) reported with three or more loose or liquid stools in the last seven days;\n   2. Sore throat;\n   3. Nasal congestion;\n   4. Increased or purulent nasal discharge;\n   5. Earache or ear discharge;\n   6. Shortness of breath;\n   7. Cough;\n   8. Increased or purulent sputum;\n   9. Muscle aches;\n   10. Anosmia;\n   11. Dysgeusia;\n   12. Burning urine;\n   13. Urinary frequency and urgency;\n   14. Dysuria;\n   15. Limb traumatic injury;\n   16. Cervical, thoracic or lumbar back pain;\n   17. Fever.\n\nWe shall exclude patients:\n\n1. transported by ambulance;\n2. not covered by the provincial health insurance plan;\n3. having consulted for a similar problem in the previous 30 days since patients with refractory disease represent a population with different care needs.;\n4. living in a long-term healthcare facility or incarcerated;\n5. with cognitive impairment that prevents reliable answers to the research questions;\n6. receiving palliative care.",{"count":145,"type":21},4000,"OBSERVATIONAL","INTRODUCTION Whereas low-acuity ambulatory patients have been cited as a source of emergency department (ED) overuse or misuse, it is argued that patient evaluation in the ED may end up being more cost-effective. The COVID-19 pandemic has complicated the debate by shifting primary care practices (PCP) and walk-in clinics (WIC) towards telemedicine, a consultation modality presumed to be more efficient under the circumstances.\n\nOBJECTIVES To compare, from patient and healthcare system perspectives, the value of the care received in person or by telemedicine in EDs, WICs and PCPs by ambulatory patients presenting with one the following complaints: 1) Acute diarrheas; 2) Sore throat; 3) Nasal congestion; 4) Increased or purulent nasal discharge; 5) Earache or ear discharge; 6) Shortness of breath; 7) Cough; 8) Increased or purulent sputum; 9) Muscle aches; 10) Anosmia; 11) Dysgeusia; 12) Burning urine; 13) Urinary frequency and urgency; 14) Dysuria; 15) Limb traumatic injury; 16) Cervical, thoracic or lumbar back pain; and 17) Fever\n\nMETHODS The investigators shall perform a multicenter prospective cohort study in Québec and Ontario. In phase 1, a time-driven activity-based costing method will be applied at each of 14 study sites. This method uses time as a cost driver to allocate direct costs (e.g. medication), consumable expenditures (e.g. needles, office supplies), overhead (e.g. building maintenance) and physician charges to patient care. The cost of a care episode thus will be proportional to the time spent receiving the care. At the end of this phase, a list of care process costs (e.g. triage, virtual medical assessment) will be generated and used to calculate the cost of each consultation during phase 2, in which a prospective cohort of patients will be monitored in order to compare the care received in EDs, WICs and PCPs. Research assistants will recruit eligible participants during the initial in-person or virtual visit. They will complete the collection using local medical records and provincial databases. Participants will be contacted by phone for follow-up questionnaires 1-3 and 8-14 days after their visit. Patients shall be aged 18 years and over, ambulatory throughout the care episode and have one of the targeted presenting complaints mentioned above. The estimated sample size is 3,906 patients. The primary outcome measurement for comparing the three types of care setting will be patient-reported outcome scores. The secondary outcome measurements will be: 1) patient-reported experience scores; 2) mean costs borne wholly by patients; 3) the proportion of return visits to any site 3 and 7 days after the initial visit; 4) the mean cost of care; 5) the incidences of mortality, hospital admissions and placement in intensive care within 30 days following the initial visit; 6) adherence to practice guidelines. Multilevel generalized linear models will be used to compare the care setting types and an overlap weights approach will be applied to adjust for confounding due to age, sex, gender, ethnicity, comorbidities, registration with a family physician, socioeconomic status and perceived severity of illness.\n\nEXPERTISE This research project brings together a strong team with expertise in emergency and primary care, pneumonology, performance assessment, biostatistics, health economics, patient-oriented research, knowledge translation, administration and policymaking.\n\nIMPORTANCE The endpoint of our program will be for policymakers, patients and care providers to be able to determine the most appropriate care setting for the management of ambulatory emergency conditions, based on the value of care associated with each alternative.",[30,149,150,151],"Emergency Services, Hospital","Quality of Care","Costs","2024-08-09",{"date":154,"type":46},"2024-08-12",{"date":156,"type":46},"2023-06-15",{"date":158,"type":21},"2025-12-31",{"name":160,"class":53},"Simon Berthelot"]