Using D-dimer to improve patient discharge in emergency departments

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to evaluate the use of D-dimer levels to identify low-risk patients in emergency departments who may not require hospitalization. By conducting a multicenter randomized controlled trial, the researchers will assess whether providing D-dimer results influences the time to discharge disposition by physicians. The study focuses on patients with non-specific complaints who are stable upon arrival and have normal vital signs. The goal is to streamline patient care and reduce unnecessary hospital admissions.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age 18 or above
* Able to provide oral and written informed consent in Danish
* Blood tests ordered on arrival as part of standard of care
* Ambulatory on arrival or walking to the ambulance (i.e., stable independent gait)
* Normal vital signs (i.e., National Early Warning Score \< 3)

Exclusion Criteria:

* Unstable condition requiring immediate care in the resuscitation area
* Triage level red (i.e., the most urgent patients)
* Trauma (minor and major) patients
* High likelihood of requiring a D-dimer analysis on clinical indications during the current hospital contact (e.g., suspected venous thromboembolic disease) that will be ordered on arrival regardless of this study
* Previous participation in the study

Where it's running

• Esbjerg Hospital
  Esbjerg, Syd, Denmark Recruiting
• Odense University Hospital
  Odense, Syd, Denmark Not yet recruiting

Study contacts

• Study coordinator: Mette Løkke, RN
• Email: mette.loekke@rsyd.dk
• Phone: 4551730068

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.