Implementation and Evaluation of an Electronic Alert to Encourage Targeted Screening for HIV Infection at Foch Hospital According to Socio-demographic Criteria (POP-UP)

Hopital Foch

Status: Completed

Conditions: HIV Testing

Treatments: Diagnostic Test: Serology HIV; Other: "POP-UP" electronic alert

Study type: Interventional

Funder types: Other

Identifiers

NCT03991767

2016/51

Details and patient eligibility

About

In 2013 in France, 29,000 people are reported to be unaware of their HIV status. HIV testing is a priority in France where one third of all diagnoses remain late despite 5 million annual tests. It is recommended to offer at least one HIV test to the general population, over the life course, when seeking care and more frequently to populations at risk. Several international and national articles have shown that emergency screening is feasible and well accepted. But also that during systematic screening few infections were discovered, and the majority of newly diagnosed people belonged to the most exposed groups.

Our hypothesis is that an electronic alert would identify people who are unaware of their HIV status. This alert would be based on two data: social data (French health coverage) and the country of birth. This alert is only relevant in high-prevalence regions, as is the case in the Ile de France region.

Enrollment: 297 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient hospitalized at Foch Hospital over 18 years of age.
• Patient with AME or CMU and/or CMUc, or patient born in one of the following countries/regions: Sub-Saharan Africa, Haiti, South America, Asia, Eastern Europe, Guadeloupe, Martinique and Guyana

Exclusion criteria

• Patient whose vital prognosis at the time of admission does not allow him/her to indicate his/her non-opposition to an HIV test.
• Patient being followed for a known HIV infection.

Trial design

Primary purpose: Screening

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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297 participants in 1 patient group

period 1

Experimental group

Description:

Period 1: Retrospective period: Collection of data from the 12 months preceding the start of the research of hospitalized patients: * number of hospitalizations, * number of HIV serologies performed, * number of patients with socio-demographic criteria justifying HIV screening. Start of research: Implementation of the "POP-UP" electronic alert Period 2: Prospective period: 18 months POP-UP opens for patient who meet the eligibility criteria. Six possibility to answer: 1. Patient accept to participate: patient is include and receive HIV serology during their hospitalization. 2. Not time to answer to the alert 3. Patient already has a serology less than 3 months old 4. Patient followed for a known HIV infection. 5. Patient who refused the test 6. Clinical condition of the patient not allowing his no opposition Only choice 1 include patient The response close the electronic alert, but it re-opens when the medical file is re-consulted (2/ and 6/) or new hospitalization.

Treatment:

Other: "POP-UP" electronic alert

Diagnostic Test: Serology HIV