Interventional Study of Videoconferences Between Hospital and Municipality - a Randomized Controlled Trial

Discharge Planning Clinical Trial

— Tele-hjem  

Official title:

Interventional Study of Videoconferences Between Hospital and Municipality After Discharge From Roskilde and Køge Hospitals - a Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02303249
• Other study ID #: SJ-337
• Status: Completed
• Phase: N/A
• First received: November 7, 2014
• Last updated: January 9, 2015
• Start date: July 2013
• Est. completion date: January 2015

Study information

• Verified date: January 2015
• Source: Roskilde County Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: Denmark: Region Zealand
• Study type: Interventional

Clinical Trial Summary

The study aims to assess whether the review of discharge planning followed by a cross-sectoral video conference in connection with discharge of medical and geriatric patients at Roskilde and Køge hospitals as well as patients from the Emergency Department at Køge Hospital reduces the proportion of patients who are readmitted within 180 days.

Project nurses at the two hospitals identifies all patients fulfilling the inclusion criteria (above 55 years of age, discharged to their own home), get informed consent and performs the video conferences. Within a few hours after discharge a video conference is held in the patient´s home including the patient,the municipal nurse and the project nurse at the hospital. During the video conference the discharge is reviewed using a structured assessment.

The survey is conducted as an open, randomized intervention study.

Description:

The study consists of two parts: First, the project nurse reviews the patients discharge together with the nurse from the hospital ward. Next, the patient is discharged from the hospital and meets the nurse from the municipality at home. Together with the patient the nurse form the municipality reviews:

• Documents from the hospital

• Medicine

• Nutrition

• Mobility

• Assessment of the need for health care services from the municipality

All patients in the project - both patients in the intervention group and patients in the control group - will receive treatment and care equivalent to normally applicable quality standards.

In 2011 4387 patients were discharged Monday to Friday from the Medical and Geriatric Departments at Roskilde and Køge Hospital to one of the seven municipalities. Of these, 1204 persons (27%) were readmitted (in any department) within 180 days. It is expected that the study demonstrates a reduction of ≥ 6 percentage points (from 27% to 21%) with a power of 80% and a significance level of 5%. There will be a need for 792 patients in both control and intervention group, ie 1584 in total.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1387
• Est. completion date: January 2015
• Est. primary completion date: December 2014
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 55 Years and older

Eligibility

Inclusion Criteria:

• Discharge from the Medical Department and Geriatric Department at Roskilde and Køge hospitals or the Emergency Department at Køge Hospital.

Address in Køge, Greve, Faxe, Solrød, Lejre, Stevns or Roskilde municipalities. Discharges between 8 am and 4 pm Monday-Friday. Acute/subacute admission to the hospital

Exclusion Criteria:

• Patients who cannot give consent to participation. Discharge to a nursing home or relief care home. Patients with planned readmission. Former participant in the study. Patients who are included in the Sub Acute Project. Patients who needs terminal care

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention

Related Conditions & MeSH terms

• Discharge Planning
• Readmission, Hospital

Intervention

Other:
• Review of discharges and cross-sectoral video conferencing immediately after discharge
The intervention is video conference which is randomized and is an intervention that is assigned by the investigator.

Locations

Country	Name	City	State
Denmark	Region Zealand, Roskilde and Køge Hospitals	Køge

Sponsors (9)

Lead Sponsor	Collaborator
Roskilde County Hospital	Faxe Municipality, Greve Municipality, Køge Municipality, Lejre Municipality, Region Zealand, Roskilde Municipality, Solrød Municipality, Stevns Municipality

Country where clinical trial is conducted

Denmark, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The proportion of patients who are readmitted	Acute readmissions to any hospital in Denmark	180 days	No
Secondary	Use of municipal services (nursing, practical help, personal care)		4 months	No
Secondary	Time to readmission		180 days	No
Secondary	Total number of readmissions		180 days	No
Secondary	Total number of days of readmission		180 days	No
Secondary	The number of contacts with general practitioner		180 days	No
Secondary	Death		180 days	No