Can a Rapid 2 Day Followup After Discharge From the ED Reduce Readmissions and Death for Patients 75 Years and Older?

Emergencies Clinical Trial

Official title:

A Randomized Trial of the Effect of a Geriatrics Appointment Within 2-3 Days of Discharge From the Emergency Department(ED) in Reducing ED and Hospital Readmissions for Patients 75 Years of Age and Older.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01769495
• Other study ID #: DE 6366-SP
• Status: Completed
• Phase: N/A
• First received: January 14, 2013
• Last updated: April 13, 2017
• Start date: August 2013
• Est. completion date: September 2014

Study information

• Verified date: April 2015
• Source: University of North Carolina, Chapel Hill
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Our hypothesis is that a rapid follow up for elderly patients in a Geriatric Clinic discharged from the Emergency Department (ED) will have fewer unplanned return ED visits and fewer unplanned hospital admissions with no attendant increase in mortality.

Patients 75 years of age and older will be randomized following discharge from the ED into two groups. The first will receive standard post ED care. The second will receive an appointment to our Geriatric Clinic within 2-3 days for stabilization, further treatment and contact with the patient's primary physician to communicate the course of the patient's illness and to schedule subsequent follow-up with the patients regular medical provider.

There will be two primary outcomes: The first will be a composite of morality and/or return to the ED at 30 days, and the secondary primary outcome will be mortality. Economic data regarding resource utilization by patients will also be analyzed.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 26
• Est. completion date: September 2014
• Est. primary completion date: September 2014
• Accepts healthy volunteers: No
• Gender: All
• Age group: 75 Years and older

Eligibility

Inclusion Criteria:

• All patients 75 years of age and older discharged from the ED

Exclusion Criteria:

• Younger than 75.

Related Conditions & MeSH terms

• Emergencies

Intervention

Other:
• 2-3 day return appointment
2-3 appointment in geriatric clinic following ED discharge

Locations

Country	Name	City	State
United States	UNC Hospitals	Chapel Hill	North Carolina

Sponsors (3)

Lead Sponsor	Collaborator
University of North Carolina, Chapel Hill	The Duke Endowment, The William R. Kenan, Jr. Charitable Trust

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Medical Resource utilization		30 days and 180 days
Primary	Mortality and readmissions to emergency department		30 and 180 days
Secondary	Mortality	Secondary outcome to measure all cause mortality for patients admitted to the study.	30 and 180 days