Minimizing Attrition for Multisite Emergency Care Research.
Loss to follow-up of enrolled patients (a.k.a. attrition) is a major threat to study validity and power. Minimizing attrition can be challenging even under ideal research conditions, including the presence of adequate funding, experienced study personnel, and a refined research infrastructure. Emergency care research is shifting toward enrollment through multisite networks, but there have been limited descriptions of approaches to minimize attrition for these multicenter emergency care studies. This concept paper describes a stepwise approach to minimize attrition, using a case example of a multisite emergency department prospective cohort of over 3,000 patients that has achieved a 30-day direct phone follow-up attrition rate of
Nicks BA, Shah MN, Adler DH, Bastani A, Baugh CW, Caterino JM, Clark CL, Diercks DB, Hollander JE, Malveau SE, Nishijima DK, Stiffler KA, Storrow AB, Wilber ST, Yagapen AN, Sun BC. Minimizing Attrition for Multisite Emergency Care Research. Acad Emerg Med. 2017 Apr;24(4):458-466. doi: 10.1111/acem.13135. Epub 2017 Mar 17. PubMed PMID: 27859997; PubMed Central PMCID: PMC5397346.