Patient Discharge Clinical Trial
Official title:
The Impact of Individual-based Discharges From Acute Admission Units to Home on Healthcare Utilization, Quality-of-life and Patient Experience: a Randomized Controlled Study
The present non-blinded randomized controlled trial (RCT) investigates the effect of a
comprehensive discharge model in adult medical patients discharged directly home from an
Acute Admission Unit (AAU). In addition, eligible patients should have, at least, one
hospital admission 12 months prior to index hospitalization and be discharged for further
follow-up by general practitioner, home care nursing or in an out-patient clinic. The model
consists of 3 main steps during the short term stay in the AAU. First, patients are screened
for pre-hospital conditions that might have contributed to the index hospitalization i.e.
functional ability, ongoing treatment including drug treatment, need for additional
assistance to maintain daily living, relatives, and use of e.g. hearing aid, glasses,
walker. Second, at point of discharge there will be a thorough assessment of the discharge
plan focusing on the patients' comprehension of the discharge plan as well as accept of the
suggested treatment and follow-up. Third, within 2 days after discharge the patient will
receive a discharge letter by email or postal mail written in plain language and repeating
the information provided in the discharge summary to the general practitioner. Subsequently,
the patient will receive a telephone follow-up from the research nurse addressing the
content in the discharge letter and possible unresolved issues related to the index
hospitalization. Patients in the control group receives the usual discharge practice in the
AAU which does not include a discharge letter to the patient and telephone follow-up after
discharge.
The primary endpoint is number of readmissions within 72 hours and 30 days after discharge.
Secondary endpoints are healthcare service utilization within 30 days after discharge this
includes number of contacts to general practitioner, out-of-hours physicians, emergency
departments and if possible visits by home care nurses. Additionally, Quality-of-Life
measured 30 days after discharge by the questionnaire EQ5D and Patient Experience of the
discharge process is measured 7 days after discharge by a Danish national patient experience
survey - serves as secondary endpoints.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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