Healthcare Renunciation During the Confinement Period in Connection With the COVID-19 Epidemic in Adult Emergency Departments

• Sponsor: University Hospital, Angers (Other)
• Overall Status: Completed
• CT.gov ID: NCT04460196
• Collaborator: (none)
• Enrollment: 900
• Locations: 2
• Actual Duration (Months): 2.4
• Patients Per Site: 450
• Patients Per Site Per Month: 190.2

Study Details

Study Description

Brief Summary

Healthcare renunciation is defined as: "Individuals give up care when they do not seek services and health care professionals when they experience a disorder, experience a physical or mental disorder, or when they do not access all of the prescribed care." In 2008, 16.5% of the general French population reported having renounced care. The causes mentioned of the renunciation are mainly the financial difficulties, the deadlines of appointments considered too long, the geographical remoteness. In the department of Sarthe, the rate of cessation of care is estimated at 27.6% over the period from 2014 to 2017.

In the context of the COVID-19 epidemic, containment was applied in France counted from 17 March 2020. The widespread message was "save lives, stay at home". The Ministry of Solidarity and Health has provided health professionals with a circular to adapt the management of patients with chronic disease, requiring elective surgical care and pregnant women.

The decline in activity of general practitioners is estimated at 44% and that of other specialists at 71%. In Paris, visits to the emergency room fell by 45% for adults and 70% for children.

The main risk is the deterioration of the health status of some patients with the worsening of chronic diseases, the discovery of pathologies during episodes of decompensation and the absence of management of serious acute pathologies.

The study aims to assess the importance of giving up care during this period of COVID-19 and in comparison with a study conducted at the University Hospital of Angers and the hospital of Le Mans in 2017.

Condition or Disease	Intervention/Treatment	Phase
Emergency Medicine	Other: survey

Study Design

• Study Type: Observational [Patient Registry]
• Actual Enrollment: 900 participants
• Observational Model: Cohort
• Time Perspective: Prospective
• Official Title: Healthcare Renunciation During the Confinement Period in Connection With the COVID-19 Epidemic in Adult Emergency Departments
• Actual Study Start Date: Jul 8, 2020
• Actual Primary Completion Date: Sep 18, 2020
• Actual Study Completion Date: Sep 18, 2020

Outcome Measures

Primary Outcome Measures

1. rate of patients who gave up consulting in the emergency department [1 day]

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

• All adults patients consulting in the emergency department and agreeing to answer the questionnaire

Exclusion Criteria:

• Patient admitted in the emergency department in serious condition (life distress)

• Person unable to consent

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	CHU Angers	Angers		France
2	CH Le Mans	Le Mans		France

Sponsors and Collaborators

• University Hospital, Angers

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: University Hospital, Angers
• ClinicalTrials.gov Identifier: NCT04460196
• Other Study ID Numbers: 49RC20_0155
• First Posted: Jul 7, 2020
• Last Update Posted: Sep 23, 2020
• Last Verified: Jul 1, 2020

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No
• Additional relevant MeSH terms: Emergencies

Study Results

No Results Posted as of Sep 23, 2020