A Prospective Randomised Control Trial to Study the Effectiveness of a Health Service Innovation Using a Modified Virtual Ward Model to Prevent Unscheduled Readmission of High Risk Patients

Chronic Diseases Clinical Trial

Official title:

A Prospective Randomised Control Trial to Study the Effectiveness of a Health Service Innovation Using a Modified Virtual Ward Model to Prevent Unscheduled Readmission of High Risk Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02325752
• Other study ID #: 2011/380/E
• Status: Completed
• Phase: N/A
• First received: December 21, 2014
• Last updated: February 9, 2017
• Start date: August 2011
• Est. completion date: January 2013

Study information

• Verified date: February 2017
• Source: Singapore General Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The investigators conducted an open randomized control study of patients who received the transitional care program versus patients who received usual care at the Singapore General Hospital from Aug 2011 to Sept 2012.

Description:

The investigators conducted an open randomized control study of patients who received the transitional care program versus patients who received usual care at the Singapore General Hospital from Aug 2011 to Sept 2012.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 840
• Est. completion date: January 2013
• Est. primary completion date: October 2012
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 21 Years and older

Eligibility

Inclusion Criteria:

• Patients with 2 or more unscheduled admission in the last 90 days to selected medical departments

• LACE score of =10.

Exclusion Criteria:

• Non-residents

• No telephone contact or a resident address

• Residing in long term care facilities.

Related Conditions & MeSH terms

• Chronic Disease
• Chronic Diseases

Intervention

Other:
• Intervention
A multidisciplinary team delivered the transitional care program. Our transitional care program focused on four key areas: Post discharge surveillance of the patient to ensure adherence to care plans. Coordination of follow-up visits with specialist care providers. Patent education and care giver training. Activation of community and social services. Upon recruitment, the patients were interviewed and assessed by the team nurse prior to their discharge. Intervention starts upon discharge from the hospital. The duration of the intervention program was 3 months. A follow-up by telephone was made within 72 hours after discharge to assess patient's condition and adherence to treatment plan. Home visits were made within 2 weeks after discharge.

Locations

Country	Name	City	State
n/a

Sponsors (3)

Lead Sponsor	Collaborator
Singapore General Hospital	Agency for Integrated Care, Singapore, Duke-NUS Graduate Medical School

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Rate of readmission	Any hospital admission after randomisation	30 days