Basel Discharge Communication Project (BACOP)
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Purpose
Patient-centered information plays an important role in medical care. In acute care, informing patients about test-results and future treatment is the final and probably the most crucial step. It is relative inexpensive and yet has the potential of having beneficial effects on patient's quality of life when performed well. Whereas under certain circumstances (and in specialties such as oncology), information can be reiterated, in other contexts such as that of the emergency department (ED), caregivers as well as patients rely on a single opportunity to provide information ("crammed information"). Presenting information at discharge may have a profound impact on quality of life and other outcomes, such as re-admission and health-care cost. Though there are - albeit conflicting - results in the context of acute care about the form (oral vs. written) of information-giving at discharge, there is surprisingly little information about the content of such information. Furthermore, the wealth of literature on information-giving stems from primary care, oncology, psychiatry and pediatrics, with only few publications concerning ED settings - and none regarding the content of information provided for the most frequent serious complaint, namely chest pain. We therefore aimed to determine the content of discharge information in ED patients with chest pain that is likely to result, from the point of view of the caregivers, in optimized outcomes.
| Condition |
|---|
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Personal Communication Hospital Discharge Dx / Patient |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Official Title: | BACOP - Basel Discharge Communication Project - Part 1 |
- Recall PerformanceTo determine whether the standardized discharge communication form is superior to the non-standardized procedure in terms of recall performance (comparing measures after the standardized and the non-standardized procedure, respectively).
| Estimated Enrollment: | 200 |
| Study Start Date: | July 2011 |
| Groups/Cohorts |
|---|
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Chest pain patients
Patients presenting to the emergency department with chest pain
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients presenting to the emergency department with chest pain
Inclusion Criteria:
- Patients with chest pain
- Written informed consent obtained (in case of limited ability to give informed consent, information on the study will be given later. The informed consent will be signed by proxy according to the patients will, or an independent physician will be consulted (Guidelines according to HMG Art. 56))
Exclusion Criteria:
- Patients with dementia will not be included because of possibly occurring memory deficits
- Patients being younger than 18 years will not be included because of limited ability to give informed consent
- Patients will not be included in case of increased troponin level, as it is an indicator for myocardial infarction or injury in a person with chest pain
- Patients with none (less than one) of five identified cardiovascular risk factor (smoking history, diabetes, hypertension, dyslipidemia, or family history of CHD) will not be included because symptoms like chest pain in such patients are typically not indicative of acute coronary syndrome but of diagnoses such as anxiety disorder.
- Patients with severely limited ability to communicate in German (the default language at the hospital) will not be included.
Contacts and Locations| Contact: Roland M Bingisser, MD | +41 61 265 58 30 | rbingisser@uhbs.ch |
| Switzerland | |
| University Hospital | Recruiting |
| Basel, Switzerland, 4031 | |
| Contact: Roland M Bingisser, MD +41 61 265 58 30 rbingisser@uhbs.ch | |
| Sub-Investigator: Christian E Mueller, MD | |
| Sub-Investigator: Wolf A Langewitz, MD | |
| Study Chair: | Selina Ackermann, M.Sc. | Basel University Hospital |
More Information
No publications provided
| Responsible Party: | University Hospital, Basel, Switzerland |
| ClinicalTrials.gov Identifier: | NCT01540266 History of Changes |
| Other Study ID Numbers: | CR13I3_140651 |
| Study First Received: | February 22, 2012 |
| Last Updated: | August 24, 2012 |
| Health Authority: | Switzerland: Ethikkommission |
Keywords provided by University Hospital, Basel, Switzerland:
|
physician-patient communication discharge communication important content chest pain emergency department |
ClinicalTrials.gov processed this record on June 18, 2013