Feasbility Study for Emergency Admissions PROMs
Research type
Research Study
Full title
The use of retrospective patient reported outcome measures (PROMs) and of general population norms for evaluating emergency admissions
IRAS ID
216716
Contact name
Esther L S Kwong
Contact email
Sponsor organisation
London School of Hygiene and Tropical Medicine
Duration of Study in the UK
0 years, 9 months, 1 days
Research summary
Measuring the quality and value of healthcare is paramount for all health systems worldwide, including the NHS. Patient Reported Outcomes Measures (PROMs) have been seen as one of the ways that the NHS can improve quality and measure effectiveness to determine the value of resources spent. However, there are areas such as in emergency admissions to hospital whereby current NHS PROMs collection does not cover and the methods for doing so pose a challenge.
There are two possible methods to extend PROMs use to emergency admissions, namely using retrospective PROMs or general population norms in place of a contemporary baseline PROMs.
There will be four phases to this PhD. Phase 1 will consist of a literature review on the evidence available in using the methods stated above, and provide an overview of the key topics for this project such as the role of recall bias in the retrospective collection of PROMs.
Phase 2 consists of a quantitative data collection to determine the reliability of using PROMs in elective surgery patients. Phase 3 compares retrospective PROMs to use of general population norms derived from general practice patient survey data.
Phase 4 involves feasibility study of collecting PROMs in medical and surgical emergency admissions in emergency laparotomy and acute myocardial infarction (specifically ST-elevation MI with PCI) patients.
This ethical application refers specifically to Phase 4 of the project where aim of this study is to examine the method of routine retrospective PROMs data collection in medical and surgical emergency admission, in several hospitals in the NHS in England.
This study will lead to a PhD thesis and include a recommendation for a reliable method for PROMs use in emergency admissions.
REC name
London - Brighton & Sussex Research Ethics Committee
REC reference
16/LO/2053
Date of REC Opinion
15 Nov 2016
REC opinion
Favourable Opinion