Fast-track Discharge With Telemedicine

Emergencies Clinical Trial

Official title:

Fast-track Discharge Combined With Treatment and Rehabilitation at Home With Telemedicine

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03730285
• Other study ID #: Fast-track telemedicine
• Status: Not yet recruiting
• Phase: N/A
• Start date: November 2019
• Est. completion date: April 2021

Study information

• Verified date: November 2018
• Source: Kolding Sygehus
• Contact: Ole W Rasmussen, Dr Med Scie
• Phone: 004576362000
• Email: Ole.Winther.Rasmussen[@]rsyd.dk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Evaluation of discharge after arrival at emergency unit, Kolding Hospital combined with treatment and rehabilitation in the home either by telemedicine or the usual treatment

Description:

Participants are acute in-patients at the Medical Department, Kolding Hospital. Participants shall be informed about the project, and all screened initially within 30 minutes. After 3-4 hours adjusted treatment and possible need for new investigations are conducted. Patients are randomized at discharge to home treatment with rounds via telemedicine with support of emergency team of nurses or hospitalization in emergency unit. Observations, treatment and rehabilitation follow the same standards and guidelines for all patients. The cohort of patients is recruited between Oct 1, 2015 until January 1, 2016. The study is a randomized quality evaluation study of patient satisfaction, of the emergency team at Kolding Municipality, re-admittance rate, use of other health services, and new services from the municipality.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 40
• Est. completion date: April 2021
• Est. primary completion date: January 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 75 Years and older

Eligibility

Inclusion Criteria:

• municipal home care at admittance

• admitted to medical emergency care unit at Kolding Hospital

Exclusion Criteria:

• ketoacidosis,

• hyperosmolar diabetic coma,

• serious hypercalcemia,

• acute renal insufficiency with serum-creatinin > 175 mmol/l,

• serious cardiac failure

• septicemia

• acute coronary disease

• apoplexia cerebri

• neuroinfection

• progressive or active cancer

• hepatic disease

• serious psychiatric disease

Related Conditions & MeSH terms

• Emergencies

Intervention

Device:
• Telemedicine
Installation of videotelephone with broadband in patient's home

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Kolding Sygehus

References & Publications (3)

Mayes PA, Silvers A, Prendergast JJ. New direction for enhancing quality in diabetes care: utilizing telecommunications and paraprofessional outreach workers backed by an expert medical team. Telemed J E Health. 2010 Apr;16(3):358-63. doi: 10.1089/tmj.2009.0110. — View Citation

Shea S, Weinstock RS, Teresi JA, Palmas W, Starren J, Cimino JJ, Lai AM, Field L, Morin PC, Goland R, Izquierdo RE, Ebner S, Silver S, Petkova E, Kong J, Eimicke JP; IDEATel Consortium. A randomized trial comparing telemedicine case management with usual care in older, ethnically diverse, medically underserved patients with diabetes mellitus: 5 year results of the IDEATel study. J Am Med Inform Assoc. 2009 Jul-Aug;16(4):446-56. doi: 10.1197/jamia.M3157. Epub 2009 Apr 23. — View Citation

van Mastrigt GA, Joore MA, Nieman FH, Severens JL, Maessen JG. Health-related quality of life after fast-track treatment results from a randomized controlled clinical equivalence trial. Qual Life Res. 2010 Jun;19(5):631-42. doi: 10.1007/s11136-010-9625-5. Epub 2010 Mar 26. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Walking distance	Measurement of walking distance regularly by home care nurse (in meters)	3 months
Secondary	Days of admittance	Days in hospital according t hospital charts	3 months
Secondary	Fall in home	No. of falls in home recorded by home care nurse	3 months