[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"emergency-service-hospital\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:emergency-service-hospital":26},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,6,0,[8,41,73,98,122,143],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":29,"lastUpdatePostDateStruct":30,"startDateStruct":33,"completionDateStruct":35,"leadSponsor":37,"locationsCount":40},"100607228","informing-low-acuity-emergency-department-patients-of-non-emergent-resources-2-100607228",false,"NCT07185828","Informing Low-acuity Emergency Department Patients of Non-emergent Resources (2)","Informing Low-acuity Emergency Department Patients of Non-emergent Healthcare Resources Following Discharge to Decrease Emergency Department Utilization (2)","Inclusion Criteria:\n\n* \\>= 18 years of age\n* Geisinger ED visit rated as low acuity (L4 or L5)\n* Discharged from Geisinger ED in past 24 hours\n\nExclusion Criteria:\n\n* Cannot be contacted via the communication modality being used in the study (i.e., SMS), due to insufficient\u002Fmissing contact information in the EHR or because the patient opted out\n* Admitted to hospital\n* Already included in intervention in past 365 days","ALL","18 Years",{"count":19,"type":20},8286,"ESTIMATED","INTERVENTIONAL",[23],"NA","The goal of this campaign is to reduce unnecessary visits to a Geisinger emergency department (ED). In this campaign, patients will be assigned to receive or not receive outreach following ED discharge with a low-acuity visit designation. Outreach will occur via a text message the day after discharge from the ED as well as information added to the patient's after visit summary (AVS). Depending on the assigned condition, it will include calls to see their primary care provider (PCP) or use an Intelligent Triage tool. The study will assess whether ED use within the following 120 days differs across patients in different outreach conditions (current standard practice vs contact your PCP vs use Intelligent Triage). It will also examine whether patients follow through on the message-specific calls to action differently across conditions.",[26,27],"Emergency Service, Hospital","Behavior Change Interventions","RECRUITING","2026-03-12",{"date":31,"type":32},"2026-03-13","ACTUAL",{"date":34,"type":32},"2025-04-15",{"date":36,"type":20},"2026-08",{"name":38,"class":39},"Geisinger Clinic","OTHER",1,{"id":42,"slug":43,"hasResults":11,"nctId":44,"briefTitle":45,"officialTitle":45,"acronym":4,"eligibilityCriteria":46,"healthyVolunteers":11,"sex":16,"minAge":47,"maxAge":4,"enrollmentInfo":48,"targetDuration":4,"studyType":50,"phases":4,"briefSummary":51,"conditions":52,"keywords":4,"overallStatus":62,"whyStopped":4,"lastUpdateSubmitDate":63,"lastUpdatePostDateStruct":64,"startDateStruct":66,"completionDateStruct":68,"leadSponsor":70,"locationsCount":40},"100629258","home-based-acute-care-for-older-persons-initiated-by-the-emergency-medical-and-ambulance-services---a-retrospective-observation-of-effects-on-healthcare-utilisation-and-mortality-100629258","NCT07472335","Home-based Acute Care for Older Persons Initiated by the Emergency Medical and Ambulance Services - a Retrospective Observation of Effects on Healthcare Utilisation and Mortality","Inclusion Criteria:\n\n* Contact with the emergency number (112), followed by either a telephone assessment by the Emergency Medical Dispatch Centre or an in-home assessment by an ambulance nurse\n* Home-based acute care a weekday between 8 AM - 4 PM\n* Emergency-department care weeknight 4 PM - 8 AM or weekends\n* Registered residence in one of the municipalities of Gothenburg, Mölndal, Partille, or Härryda\n\nExclusion Criteria:\n\n* Immediate conditions requiring hospital care\n* Care at the emergency department or by a mobile primary care team occurring more than 24 hours after assessment by the Emergency Medical Dispatch Centre or ambulance services\n* Individuals who have already been assessed by a physician and\u002For have a written referral to the emergency department","75 Years",{"count":49,"type":20},5000,"OBSERVATIONAL","This observational study aims to examine outcomes of home-based acute care delivered by a mobile healthcare team in persons aged 75 years and older following an episode of acute illness.\n\nThe study will assess whether home-based acute care initiated by the emergency medical dispatch centre or ambulance services is non-inferior to emergency department care with regard to care needs and mortality.",[53,54,55,56,57,58,26,59,60,61],"Aged","Home Care, Hospital-Based","Home Care Services","Emergency Medical Dispatch Centre","Emergency Medical Services","Ambulances","Acute Disease","Mortality","Treatment Outcome","NOT_YET_RECRUITING","2026-03-10",{"date":65,"type":32},"2026-03-16",{"date":67,"type":20},"2026-04-01",{"date":69,"type":20},"2027-12-31",{"name":71,"class":72},"Vastra Gotaland Region","OTHER_GOV",{"id":74,"slug":75,"hasResults":11,"nctId":76,"briefTitle":77,"officialTitle":78,"acronym":79,"eligibilityCriteria":80,"healthyVolunteers":81,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":82,"targetDuration":4,"studyType":50,"phases":4,"briefSummary":84,"conditions":85,"keywords":86,"overallStatus":62,"whyStopped":4,"lastUpdateSubmitDate":89,"lastUpdatePostDateStruct":90,"startDateStruct":92,"completionDateStruct":94,"leadSponsor":96,"locationsCount":40},"100608895","evaluation-of-the-access-to-healthcare-service-100608895","NCT07207499","Evaluation of the Access to Healthcare Service","Evaluation of the Access to Healthcare Service Established in the Le Havre Area","SAS-LH","Inclusion Criteria:\n\n* For the primary analysis and secondary outcome measure 1:\n\n  * All calls to 116-117 or 15 in the Le Havre area over the 40 study periods,\n  * Non-opposition. Patients with a life-threatening emergency will be included in the primary analysis, even though there will be no pseudo-randomization of the systems for them. They are therefore included in the study.\n* For the secondary analysis on patient compliance with the referral given by the regulating physician (secondary objective 2):\n\n  * Non-opposition of patients who used the SNP call for the primary analysis,\n  * Randomly selected by sampling calls to 116-117 or 15 made over the study periods defined by the protocol.\n* For the qualitative component:\n\n  * Major,\n  * No opposition from regulators and major effectors of the SAS\n  * Or No opposition from adult health patients in the Le Havre area who have used the unscheduled care system (outpatient or inpatient).\n\nExclusion Criteria:\n\n* For the primary analysis and secondary objective 1:\n\n  * Refusal to participate,\n  * Non-French speaking.\n* For the secondary analysis on patient compliance with the referral given by the regulating physician (secondary objective 2) and for the qualitative component:\n\n  * Minor caller\n  * Refusal to participate (patient or caller or both),\n  * Non-French speaking (caller)\n  * Only for adult healthcare users in the Le Havre area included in the qualitative component: Not having the independent capacity to use the SNP. Non-use of the SAS will not be a criterion for exclusion.",true,{"count":83,"type":20},9280,"The Healthcare Access Service (SAS) of the Emergency Department of the CHG du Havre is a telephone regulation (i.e., orientation) service for users of Le Havre. Access to this service, during a call, gives access to a Medical Regulation Assistant (ARM) (first contact) who determines, in less than 30 seconds, the degree of urgency applicable to the \"caller\" in order to direct the latter to the \"primary care\" channel or the \"urgent medical assistance\" channel. Thus, in the context of a non-life-threatening emergency, this service allows access during the day to a consultation with a healthcare professional. When their primary care physician is not available, the \"caller\" is directed by a Medical Regulation Assistant (ARM) to an Unscheduled Care Operator (OSNP) who can provide medical advice, offer a teleconsultation, or direct them, depending on the situation, to an unscheduled care consultation in an office, at home, or at a health center. This service therefore allows for patient referrals and gives patients direct access to healthcare professionals known as \"performers\" of primary care (doctor, midwife, dentist) within very short timeframes (most often during the day, and 48 hours at the latest). This medical regulation is made possible through the use of a shared calendar between independent healthcare professionals and the healthcare access service (SAS). In the event of a life-threatening emergency, the \"caller\" is directed by the Medical Regulation Assistant (ARM) to an emergency Medical Regulation Assistant (ARM) who assesses the actual degree of urgency, the medical needs and the possibility of triggering the SAMU intervention. Before its implementation, the patient journey was complicated by the lack of a link between regulation and so-called \"field\" medical professionals, now called \"performers\" of primary care. Indeed, the initial so-called \"standard\" regulation system did not have a \"primary care\" referral system (with very rapid appointments to primary care for semi-emergencies (unscheduled community care)), potentially saving recourse to emergency services or medical time in situations not requiring medical advice (request for contact details of on-call pharmacy).",[26],[87,88],"Access to Care Service (SAS)","telephone patient regulation service","2025-09-26",{"date":91,"type":32},"2025-10-06",{"date":93,"type":20},"2025-12-01",{"date":95,"type":20},"2027-06-01",{"name":97,"class":39},"University Hospital, Rouen",{"id":99,"slug":100,"hasResults":11,"nctId":101,"briefTitle":102,"officialTitle":102,"acronym":4,"eligibilityCriteria":103,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":104,"targetDuration":4,"studyType":50,"phases":4,"briefSummary":106,"conditions":107,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":113,"lastUpdatePostDateStruct":114,"startDateStruct":116,"completionDateStruct":118,"leadSponsor":120,"locationsCount":40},"100602389","eligibility-of-patients-referred-to-emergency-departments-by-their-general-practitioners-for-care-in-walk-in-clinics-a-single-center-study-in-le-de-france-100602389","NCT07122869","Eligibility of Patients Referred to Emergency Departments by Their General Practitioners for Care in Walk-in Clinics: A Single-Center Study in Île-de-France","Inclusion Criteria:\n\n* Age 18 years or older\n* Patient referred to the emergency department (ED) with a letter from a general practitioner (GP)\n* ED visit during the study hours (Monday to Friday, 9 a.m. to 8 p.m.)\n* Consultation in the selected adult emergency service\n* Medical or traumatic reason justifying the ED visit\n* Patient stable at arrival and during ED care\n\nExclusion Criteria:\n\n* Patients under 18 years old (pediatric cases excluded)\n* No referral letter or proof of GP referral\n* ED visit outside study hours (weekends, nights)\n* Patients requiring intensive hospital care defined by:\n* Intravenous treatments (e.g., antibiotics, fluids)\n* Heavy imaging exams (CT scan, MRI) during the visit\n* Diagnoses with immediate life- or function-threatening conditions (e.g., myocardial infarction, stroke, severe infection)\n* Hospitalization decided during or after ED visit\n* Clinical instability at or during ED visit (abnormal vital signs, respiratory distress, etc.)\n* Patients referred for non-medical reasons (social issues, lack of medical follow-up)",{"count":105,"type":20},80,"This study aims to find out how many patients sent to the emergency department by their general practitioner could instead be treated in a walk-in clinic. Walk-in clinics provide quick, basic medical care without an appointment and can perform simple tests like blood work and X-rays. By identifying patients who don't need full hospital emergency care, this study hopes to improve patient flow and reduce overcrowding in emergency rooms in the Île-de-France region.",[26,108,109,110,111,112],"Primary Health Care","General Practitioners","Walk-In Clinics","Patient Admission","Health Services Accessibility","2025-08-08",{"date":115,"type":32},"2025-08-14",{"date":117,"type":32},"2025-07-28",{"date":119,"type":20},"2025-08-30",{"name":121,"class":39},"Centre Hospitalier de Gonesse",{"id":123,"slug":124,"hasResults":11,"nctId":125,"briefTitle":126,"officialTitle":126,"acronym":4,"eligibilityCriteria":127,"healthyVolunteers":11,"sex":16,"minAge":128,"maxAge":4,"enrollmentInfo":129,"targetDuration":4,"studyType":50,"phases":4,"briefSummary":131,"conditions":132,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":135,"lastUpdatePostDateStruct":136,"startDateStruct":138,"completionDateStruct":140,"leadSponsor":141,"locationsCount":40},"100553838","modelling-of-correlation-between-emergency-department-admissions-and-location-specific-air-quality-and-weather-in-the-florence-urban-area-100553838","NCT06491290","Modelling of Correlation Between Emergency Department Admissions and Location-specific Air Quality and Weather in the Florence Urban Area","Inclusion Criteria:\n\n* Consecutive emergency department visits within the study period\n\nExclusion Criteria:\n\n* Patients resident outside the metropolitan area investigated\n* Patients admitted to the emergency department for traumatic injuries","14 Years",{"count":130,"type":20},480000,"The goal of this observational study is to evaluate the impact of primary air pollutants and weather parameters on emergency department (ED) visits in the metropolitan area of Florence.",[26,133,134],"Air Pollution","Weather","2024-07-08",{"date":137,"type":32},"2024-07-09",{"date":139,"type":32},"2024-01-01",{"date":69,"type":20},{"name":142,"class":39},"Azienda Ospedaliero-Universitaria Careggi",{"id":144,"slug":145,"hasResults":11,"nctId":146,"briefTitle":147,"officialTitle":148,"acronym":149,"eligibilityCriteria":150,"healthyVolunteers":81,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":151,"targetDuration":4,"studyType":21,"phases":153,"briefSummary":154,"conditions":155,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":160,"lastUpdatePostDateStruct":161,"startDateStruct":163,"completionDateStruct":165,"leadSponsor":167,"locationsCount":40},"100528669","appropriate-use-of-blood-cultures-in-the-emergency-department-through-machine-learning-100528669","NCT06163781","Appropriate Use of Blood Cultures in the Emergency Department Through Machine Learning","Appropriate Use of Blood Cultures in the Emergency Department Through Machine Learning: a Randomized Controlled Trial","ABC","Inclusion Criteria:\n\n* Age \\>= 18 years\n* Have a clinical indication for a blood culture analysis (according to the treating physician)\n* Have sufficient data recorded (laboratory results and vital sign measurements) for a prediction to be made (at least 20% of the needed parameters)\n\nExclusion Criteria:\n\n* Central Venous Line (CVL) or Peripherally Inserted Central Catheter (PICC) in situ\n* Neutrophil count \\\u003C 0.5 \\* 109\u002FL\n* Candidemia or S. aureus bacteraemia in the past 3 months.\n* Most likely diagnosis of endocarditis\u002Fspondylodiscitis\u002Finfected prosthetic material\n* Pregnant or breastfeeding patients\n* Not capable of giving informed consent",{"count":152,"type":20},7584,[23],"The goal of this clinical trial is to study whether the use of our blood culture prediction tool is non-inferior to current practice and if it can improve certain outcomes in all adult patients presenting to the emergency department with a clinical indication for a blood culture analysis (according to the treating physician). The primary endpoint is 30-day mortality. Key secondary outcomes are:\n\n* hospital admission rates\n* in-hospital mortality\n* hospital length-of-stay. In the intervention group, the physician will follow the advice of our blood culture prediction tool.\n\nIn the comparison group all patients will undergo a blood culture analysis.",[156,157,158,26,159],"Artificial Intelligence","Machine Learning","Microbiology","Randomized Controlled Trial","2024-05-03",{"date":162,"type":32},"2024-05-07",{"date":164,"type":32},"2024-02-19",{"date":166,"type":20},"2027-07",{"name":168,"class":39},"Amsterdam UMC, location VUmc"]