Recruitment of emergency department patients to a prospective observational study.

IF 2 Q2 EMERGENCY MEDICINE International Journal of Emergency Medicine Pub Date : 2024-10-07 DOI:10.1186/s12245-024-00717-y
Claire Shubeck, Hans Reyes Garay, Bret P Nelson, Marcee Wilder, Aleksandra Degtyar, Megan Lukas, Lauren Gordon, George T Loo, Bernice Coleman, Lynne D Richardson, Kimberly Souffront
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Abstract

Background: The dynamic environment of the emergency department (ED) poses unique challenges to the execution of well-designed research. There is limited investigation into the viability of studies conducted in the ED. This paper offers a systematic evaluation of our recruitment of emergency patients for a prospective observational research study, shedding light on the intricate landscape of research feasibility within the ED setting.

Results: Research coordinators dedicated 2816.83 h to screening, recruiting, and enrolling patients between June 2018 and September 2023, having to stop recruitment twice due to financial constraints and the COVID-19 pandemic. 485 patients were approached and 84 of them were enrolled, resulting in a 31.94% enrollment rate, with approximately 2.8 participants recruited per month. Of those enrolled, 77 completed all study endpoints. Most participants were Hispanic (n = 44; 52.3%) and/or Black (n = 37; 44%), middle-aged (µ = 51.7 years), and female (n = 48; 57.1%). Participant recruitment was challenged by competing mindsets, the COVID-19 pandemic, and high staff turnover.

Conclusions: Recruiting emergency patients for a prospective observational study is feasible given adequate staffing and financial resources. Standardizing feasibility assessments for the recruitment of patients in the emergency department is important to the success of future study.

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招募急诊科患者参与前瞻性观察研究。
背景:急诊科(ED)的动态环境为开展精心设计的研究带来了独特的挑战。关于在急诊科开展研究的可行性调查十分有限。本文对我们为一项前瞻性观察研究招募急诊患者的情况进行了系统评估,揭示了急诊室环境中研究可行性的复杂情况:研究协调员在 2018 年 6 月至 2023 年 9 月期间共投入 2816.83 小时用于筛选、招募和注册患者,由于资金紧张和 COVID-19 大流行,不得不两次停止招募。共接触了 485 名患者,其中 84 人被招募,招募率为 31.94%,每月招募约 2.8 名参与者。其中 77 人完成了所有研究终点。大多数参与者为西班牙裔(n = 44;52.3%)和/或黑人(n = 37;44%)、中年(µ = 51.7 岁)和女性(n = 48;57.1%)。参与者的招募受到了竞争心态、COVID-19大流行和人员流动率高的挑战:结论:在人员和资金充足的情况下,招募急诊患者参与前瞻性观察研究是可行的。对急诊科患者招募的可行性评估进行标准化对未来研究的成功非常重要。
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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
63
审稿时长
13 weeks
期刊介绍: The aim of the journal is to bring to light the various clinical advancements and research developments attained over the world and thus help the specialty forge ahead. It is directed towards physicians and medical personnel undergoing training or working within the field of Emergency Medicine. Medical students who are interested in pursuing a career in Emergency Medicine will also benefit from the journal. This is particularly useful for trainees in countries where the specialty is still in its infancy. Disciplines covered will include interesting clinical cases, the latest evidence-based practice and research developments in Emergency medicine including emergency pediatrics.
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