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This observational study aims to use electronic health records to build an International Big Data Centre in Emergency Medicine, within the Institute of Sciences in Emergency Medicine (ISEM) at the Guangdong Provincial People's Hospital. The main questions it seeks to answer are not limited to the following:
The relationship between the emergency department length-of-stay (EDLOS), mortality, and adverse events (AE) rate remains unclear and underestimated. EDLOS is the time elapsed between the time of arrival and the time of the release of a patient admitted to ED. Mortality is defined as short-term (14 hours, 48 hours, 7 days, 15 days) and 30 days death of patients managed in the ED discharged or admitted. An AE is an event that can result whether from medical mismanagement or happen by accident and causes physical and mental harm to the patient during the stay and remains after leaving. To separate the mismanagement from accidental causes i.e., compliant management but the unfortunate situation or persons, this study will refer to indicators that are objectively measurable and can be compared at different times throughout the patient's stay in the ED.
The hypothesis is that a prolonged stay of the patients in the ED especially without diagnosis or decision of admission is associated with increased mortality and AEs. This project will test this hypothesis through a prospective international multicenter study in contributing to whether a prolonged EDLOS is associated with an increased rate of adverse outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| All ED Patient | All patients visited the emergency department during the period. |
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| Measure | Description | Time Frame |
|---|---|---|
| In-hospital Mortality | IHM | From date of ED triage until the date of discharge or date of death from any cause, whichever came first, assessed up to 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Adverse Events | AE | From date of ED triage until the date of discharge or date of death from any cause, whichever came first, assessed up to 1 month |
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Inclusion Criteria:
Exclusion Criteria:
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The study population will be everybody who visited the Emergency Department.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Abdelouahab Bellou, MD, PhD, MSc | Contact | +16176693707 | abellou402@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Abdelouahab Bellou, MD, PhD, MSc | Guangdong Provincial People's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Guangdong Provincial People's Hospital | Recruiting | Guangzhou | Guangdong | China |
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