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Can texting patients after ER visits reduce overcrowding?

NCT ID NCT07447674

What the study statuses mean

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Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting This study
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tests whether using digital tools like app notifications, WhatsApp, and email can speed up patient follow-up after leaving the emergency department, compared to standard phone calls. About 466 low-risk adults will be randomly assigned to one of two communication strategies. The goal is to see if digital reminders help patients connect with the hospital faster, which could ease ER overcrowding.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

What this could lead to
If successful, this could show that digital reminders (app, WhatsApp, email) speed up patient follow-up after ER discharge, potentially reducing overcrowding.
What could go wrong
This is a small pilot study, not yet recruiting. Results may not apply to all hospitals or patients without smartphones. The primary outcome is contact time, not health outcomes.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

About 466 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

May 2026

An estimate. Start dates often move.

Expected to finish

Jul 2027

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Age ≥ 18 years; * Initial in-person evaluation at the Emergency Care Unit of Hospital Israelita Albert Einstein; * Emergency Severity Index (ESI) classification of 3, 4, or 5 during nursing triage; * In-person medical evaluation confirming low-risk classification; * Request for complementary laboratory tests; * Acceptance of digital reassessment after discharge; * Provision of written informed consent. Exclusion Criteria: * Request for blood culture testing; * Request for imaging studies (except chest X-ray evaluated in the Emergency Care Unit prior to discharge); * Laboratory tests with an expected turnaround time greater than 24 hours; * Change in clinical complexity level after medical evaluation; * Failure to transfer the discharged patient's identification to the Telemedicine Center; * Activation of a scheduled contingency plan at external units preventing timely patient registration in the telemedicine system as required by the program; * Lack of access to a smartphone with WhatsApp and email for communication.

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As listed by the trial registrant

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How to take part

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  1. The official record

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