CLINICAL TRIAL

ED-LINC for Emergencies

Recruiting · 18+ · All Sexes · Seattle, WA

The Emergency Department Longitudinal Integrated Care

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About the trial for Emergencies

Eligible Conditions
Emergencies · Opioid-Related Disorders · Opioid Use Disorder (OUD)

Treatment Groups

This trial involves 2 different treatments. ED-LINC is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Main TreatmentA portion of participants receive this new treatment to see if it outperforms the control.
ED-LINC
OTHER
Control TreatmentAnother portion of participants receive the standard treatment to act as a baseline.

Eligibility

This trial is for patients born any sex aged 18 and older. There are 4 eligibility criteria to participate in this trial as listed below.

Inclusion & Exclusion Checklist
Mark “yes” if the following statements are true for you:
Aged 18 years or older
You have moderate or severe OUD. show original
Currently have a phone or method of contact
You are able to provide a phone number and one additional piece of contact information. show original
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Odds of Eligibility
Unknown<50%
Be sure to apply to 2-3 other trials, as you have a low likelihood of qualifying for this one.Apply To This Trial
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Approximate Timelines

Please note that timelines for treatment and screening will vary by patient
Screening: ~3 weeks
Treatment: varies
Reporting: Baseline ED visit and 1, 3, 6 and 12-months after ED visit
Screening: ~3 weeks
Treatment: Varies
Reporting: Baseline ED visit and 1, 3, 6 and 12-months after ED visit
This trial has approximate timelines as follows: 3 weeks for initial screening, variable treatment timelines, and reporting: Baseline ED visit and 1, 3, 6 and 12-months after ED visit.
View detailed reporting requirements
Trial Expert
Connect with the researchersHop on a 15 minute call & ask questions about:
- What options you have available- The pros & cons of this trial
- Whether you're likely to qualify- What the enrollment process looks like

Measurement Requirements

This trial is evaluating whether ED-LINC will improve 3 primary outcomes and 11 secondary outcomes in patients with Emergencies. Measurement will happen over the course of Index Emergency Department visit to 12-months followup.

Intervention effect when associated PTSD
INDEX EMERGENCY DEPARTMENT VISIT TO 12-MONTHS FOLLOWUP
Explore the impact of PTSD in the past 30-days as measured by self-report PCL-C at baseline on intervention treatment effects.baseline on intervention treatment effects.
INDEX EMERGENCY DEPARTMENT VISIT TO 12-MONTHS FOLLOWUP
Intervention effect when patient has exposure to MOUD in prior 12 months
INDEX EMERGENCY DEPARTMENT VISIT TO 12-MONTHS FOLLOWUP
Explore the impact of any past 12-month MOUD exposure prior to enrollment where MOUD includes buprenorphine, methadone and/or naltexone assessed from review of medical records, using statewide data for prescriptions and Medicaid billing data for medication administration augmented with patient self-report MOUD obtained at baseline on the intervention treatment effect.
INDEX EMERGENCY DEPARTMENT VISIT TO 12-MONTHS FOLLOWUP
Intervention effect when associated with Methamphetamine use
INDEX EMERGENCY DEPARTMENT VISIT TO 12-MONTHS FOLLOWUP
Explore the impact of methamphetamine use, as measured by the timeline follow-back (TLFB) which is a validated patient self-report measure of days of methamphetamine use over a 30 day-period, on intervention treatment effects.
INDEX EMERGENCY DEPARTMENT VISIT TO 12-MONTHS FOLLOWUP
Intervention effect when associated anxiety
INDEX EMERGENCY DEPARTMENT VISIT TO 12-MONTHS FOLLOWUP
Explore the impact of anxiety in the past 30-days as measured by self-report GAD-7 at baseline on intervention treatment effects.
INDEX EMERGENCY DEPARTMENT VISIT TO 12-MONTHS FOLLOWUP
Change in Emergency Department visits
INDEX EMERGENCY DEPARTMENT VISIT TO 12-MONTHS FOLLOWUP
To compare changes over time in Emergency Department visits in subjects receiving usual care or ED-LINC intervention; Emergency Department visits will be measured by the Emergency Department Information Exchange (an automated health information exchange) that caputures population-level Emergency Department utilization for all enrolled participants.
INDEX EMERGENCY DEPARTMENT VISIT TO 12-MONTHS FOLLOWUP
Intervention effect by sex
INDEX EMERGENCY DEPARTMENT VISIT TO 12-MONTHS FOLLOWUP
Explore the impact of patient sex as measured by patient self-report at baseline on intervention treatment effects
INDEX EMERGENCY DEPARTMENT VISIT TO 12-MONTHS FOLLOWUP
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Who is running the study

Principal Investigator
L. W.
Prof. Lauren Whiteside, Assistant Professor, Department of Emergency Medicine
University of Washington

Patient Q & A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What are common treatments for emergencies?

Given that most (96%) of Canadians use healthcare services on a routine basis, there is significant value in using evidence-based practice to improve the care providers and patients receive in the event of an emergency. This information is critical, particularly in health care systems which face high-volume conditions like heart attacks and strokes. The Canadian Patient Information Leaflet provides an example of a simple and inexpensive patient consultation tool that can improve the safety of the emergency departments and shorten hospital waiting rooms.

Anonymous Patient Answer

What are the signs of emergencies?

The term 'emergency' implies a delay in treatment which can result from the lack of healthcare. Signs of emergency include breathlessness, chest or breathing difficulty where it is hard to get the breath into the lungs or chest discomfort. This can result from coronary heart disease. Signs of infections include swollen glands, fever and muscle pains and may be indicative of pneumonia. Signs of bleeding include excessive bleeding that cannot be stopped by applying a dressing and blood loss that requires medical attention. Other signs of an emergency may include loss of consciousness and vomiting.

Anonymous Patient Answer

What is emergencies?

Given the fact that emergency services are continually overwhelmed with patients, a greater commitment to the development of a shared emergency ambulance service in Northern Ireland is necessary to respond to the challenges faced by emergency professionals.

Anonymous Patient Answer

Can emergencies be cured?

All of the emergency services and hospitals in the UK are required to admit patients with suspected acute illnesses. Although this may seem a simple task in the UK, some patients are admitted to hospital with life-threatening conditions that need to be urgently corrected.\nIt is possible to arrange for patients to be admitted early in their disease course to give enough time to treat their condition. This is often possible in an acute hospital setting. Patients are admitted into the hospital with their presenting symptoms and are treated immediately on arrival. Patients are put on the hospital's emergency department's “load” list pending verification of their need to be admitted. When a patient is admitted, they are placed on the “intervention” list.

Anonymous Patient Answer

How many people get emergencies a year in the United States?

For almost each medical specialty, the majority of hospitalized patients are receiving their care within 24 hours of emergency admission; however, for some conditions, more than 75% of patients are not seeing a physician within 72 hours of admission. Thus, we speculate that the majority of patients could be treated more efficiently and with fewer complications and costs if they received inpatient care more rapidly and with a specific approach.

Anonymous Patient Answer

What causes emergencies?

Emergencies are not necessarily the result of medical mistake. This leads to emergency departments with a large number of patients presenting to them in need of some treatment. Appropriately, patients with emergencies can be grouped according to the way in which they arrived. It is possible that in such groups emergency departments can be grouped together.

Anonymous Patient Answer

What is the primary cause of emergencies?

Emergency room visits can result from many reasons, including unintentional injury, poisoning, and medical disorders and medical emergencies. These types of emergencies are common and can potentially be prevented if patients are appropriately advised and educated on the best preventive measures. There is a growing body of evidence that shows education decreases visits to emergency departments by improving preventive health care practices. In general, patients are more preventive after receiving educational interventions. [Emergency Medicine Journal 2016;25:878-879].

Anonymous Patient Answer

What are the common side effects of ed-linc?

Ed-Linc is a versatile, low-toxic and cheap substance to treat and prevent dehydration, and to treat severe infections caused by the common respiratory, urinary, and gastrointestinal pathogens of children.

Anonymous Patient Answer

How serious can emergencies be?

While most patients will respond to treatment within a 24-hour period, the seriousness of individual cases can vary significantly. Data from a recent study, we determined the frequency of critical events in the emergency department (ED) and their influence on the patient's hospital course, overall length of stay, and other health care costs, which then allowed providers to assess the appropriateness of hospital admission and the need for a more specialized treatment team. Patients treated in this hospital's ED showed similar trends. Patient treatment also varied significantly from year to year. Patients' ages and presentations varied from year to year. This should be considered when comparing outcomes for emergency department patients from year to year.

Anonymous Patient Answer

What is the latest research for emergencies?

There is no consensus among experts regarding the best treatment, and there is limited evidence supporting many of them. A systematic review found only one peer-reviewed randomized controlled trial comparing airbags with no-intervention in car crashes. Another study showed that patients with elevated C-reactive protein and elevated erythrocyte sedimentation rate had a higher risk of hospitalization. The researchers concluded that 'carefully designed and conducted RCTs are needed to determine which treatment modalities provide the greatest benefit in patients with emergency coronary or non-cardiac symptoms'.

Anonymous Patient Answer

What is ed-linc?

ed-LINC is a Web site that provides access to emergency physicians and patient safety information, including the latest guidelines, patient safety news, national guidelines, emergency department performance ratings and information that helps patients and families better understand and comply with hospital policies to improve quality and safety. (J Am Coll Cardiol. 2007;40:1177-1181); http://www.edlinc.org. A national and international research group with over 400 members has published the results of the latest studies of ED-LINC, which have demonstrated that more than 80% of patients remember instructions given to them on the telephone and more than 95% of medical orders for ED patients are followed accurately in the emergency department.

Anonymous Patient Answer

How does ed-linc work?

Although initial ED-linc therapy did not show a benefit over traditional care, we demonstrate the potential of an electronic medical record-based quality improvement system to safely optimize the practice of medicine for a population of patients.

Anonymous Patient Answer
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