NCT07405073

Advanced Practice Nurse Specializing in Emergency Care and Post-emergency Consultation: Feasibility Study

Advanced Practice Nurse Specializing in Emergency and Post-emergency Care: Towards Improved Unscheduled Care?

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 328 (actual)
• Sponsor: Centre Hospitalier Régional Metz-Thionville · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Emergency departments are facing increasing overload, exacerbated by difficulties in accessing primary care. This saturation impacts the fluidity of care pathways and the quality of care. A major challenge is the high rate of short-term repeat visits, which increases the workload. These early returns may be due to an unexpected change in the patient's condition, but also to the difficulty of obtaining a quick appointment with a general practitioner, due to a shortage of practitioners or a lack of available slots within a few days.

Detailed description

In this context, the implementation of a Post-Emergency Consultation by an Advanced Practice Nurse could be a solution to improve patient follow-up and limit these avoidable return visits. Main objective: Identify the profiles of patients who return for a second consultation within 15 days of their first visit to the emergency department. Secondary objectives: * Describe the characteristics of these patients (age, gender, medical history, pathologies, reasons for the initial consultation, reasons for the repeat consultation). * Analyze medical records to assess whether a post-emergency consultation by an APN could have prevented this repeat consultation.

Conditions

• Healthcare Access

Timeline

• Start date: 2025-01-01
• Primary completion: 2025-06-30
• Completion: 2025-06-30
• First posted: 2026-02-12
• Last updated: 2026-02-12

Locations

1 site across 1 country: France