A Case Management Study Targeted to Reduce Health Care Utilization for Frequent Emergency Department Visitors

The Focus is to Investigate Effect of a Case Management Interventions in Frequent Visitors to Emergency Departments Clinical Trial

Official title:

A Case Management Study Targeted to Reduce Health Care Utilization for Frequent Emergency Department Visitors

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT01985074
• Other study ID #: HN-AHS-MBS-1
• Status: Active, not recruiting
• Phase: N/A
• First received: November 4, 2013
• Last updated: September 13, 2015
• Start date: July 2010
• Est. completion date: December 2016

Study information

• Verified date: September 2015
• Source: Health Navigator
• Contact: n/a
• Is FDA regulated: No
• Health authority: Sweden: Regional Ethical Review Board
• Study type: Interventional

Clinical Trial Summary

The aim of the study is to determine whether a nurse-managed telephone-based case-management intervention can reduce healthcare utilization and improve self-assessed health status in frequent emergency department users.

Description:

The study tests a nurse-run case-management intervention targeted towards frequent emergency department visitors. The aim is to reduce visits to emergency departments as well as to improve quality of life by facilitating coping mechanisms as well as redirecting these patients to more suitable health care facilities.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 15000
• Est. completion date: December 2016
• Est. primary completion date: April 2015
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Recent history of frequent visits to emergency department

• Anticipated sustained high visit frequency

• Living in one of five Swedish counties where trial is ongoing

Exclusion Criteria:

• Moribund patients

• Psychosis

• Severe hearing impairment or language difficulties

• Other factors that may make it impossible or impractical for a patient to participate in the study

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care

Related Conditions & MeSH terms

• Emergencies
• The Focus is to Investigate Effect of a Case Management Interventions in Frequent Visitors to Emergency Departments

Intervention

Behavioral:
• Case-management intervention
The participants in the intervention group receives a nurse-managed case-management intervention that is regularly delivered by telephone or, when necessary, in person.

Locations

Country	Name	City	State
Sweden	Stockholms Läns Landsting	Stockholm

Sponsors (6)

Lead Sponsor	Collaborator
Health Navigator	Ostergotland County Council, Sweden, Sormland County Council, Sweden, Stockholm County Council, Sweden, Uppsala County Council, Sweden, Vastra Gotaland Region

Country where clinical trial is conducted

Sweden, 

References & Publications (1)

Reinius P, Johansson M, Fjellner A, Werr J, Ohlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013 Oct;20(5):327-34. doi: 10.1097/MEJ.0b013e328358b — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of outpatient visits to medical doctor		During first two years of follow-up	No
Primary	Number of hospitalizations		During first two years of follow-up	No
Secondary	Mortality		During first two years of follow-up	Yes
Secondary	Length of hospital stay		During first two years of follow-up	No
Secondary	Total health care costs		During first two years of follow-up	No