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Trial registered on ANZCTR
Registration number
ACTRN12609000930280
Ethics application status
Not yet submitted
Date submitted
28/10/2009
Date registered
28/10/2009
Date last updated
28/10/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
Emergency department fast track: a randomised control trial of physician versus nurse-based care
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Scientific title
Randomised control trial of physician versus nurse practitioner based care on patient satisfaction and health outcomes in emergency department fast track patients
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Minor injuries and conditions presenting to an emergency department fast track unit
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Condition category
Condition code
Public Health
252276
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0
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Health service research
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Use of a dedicated emergency department nurse practitioner working in the fast track unit over a 4 month period
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Intervention code [1]
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Other interventions
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Comparator / control treatment
Patients treated with emergency department doctors over a 4 month period
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Control group
Active
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Outcomes
Primary outcome [1]
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Mean patient satisfaction score using a standardised patient satisfaction rating intrument
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Assessment method [1]
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Timepoint [1]
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upon completion of consultation
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Secondary outcome [1]
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health outcome using SF12 (acute recall)
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Assessment method [1]
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Timepoint [1]
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2 weeks post Emergency Department (ED) discharge
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Eligibility
Key inclusion criteria
Adult patients (age > 16 years) who are triaged to the fast track unit between 0800-2230
Normal vital signs and mental state
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Minimum age
16
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Multiple medical comorbidities
Dementia
Unable to provide a reliable history or follow up
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Patients are identified and enrolled through the emergency department triage nurse. A sealed envelope in a box is obtained that contains the study group allocation. This is opened by the triage nurse and placed in the patient notes in the fast track area without being revelaed to the patient
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The group allocation will be assigned using a computer random number generator and will be placed randomly in box
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
15/02/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
300
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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NA
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Address [1]
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NA
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Country [1]
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Primary sponsor type
Hospital
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Name
The Canterbury Hospital, Emergency Department
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Address
Canterbury Rd, Campsie NSW 2194
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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NA
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Address [1]
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NA
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Country [1]
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Human Research Ethics Committee Sydney South West Area Health Service (central zone)
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Ethics committee address [1]
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Research Development office Royal Prince Alfred Hospital Missenden Rd Camperdown NSW 2050
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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28/10/2010
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Approval date [1]
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Ethics approval number [1]
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Summary
Brief summary
The objective of the study is to evaluate an alternative model of care using a nurse practitioner for patients presenting to emergency departments with minor conditions. The hypothesis is that patients with minor conditions seen initially by nurse practitioners are more satisfied with their care compared to those seen initially by an emergency department doctor. The hypothesis will be tested using a randomised controlled trial study design.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Michael Dinh
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Address
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Emergency Department
Royal Prince Alfred Hospital
Missenden Rd
Camperdown
NSW 2050
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Country
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Australia
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Phone
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+61 2 9515 6111
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Michael Dinh
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Address
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Emergency Department
Royal Prince Alfred Hospital
Missenden Rd
Camperdown
NSW 2050
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Country
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Australia
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Phone
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+61 2 9515 6111
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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