Readmission Clinical Trial
Official title:
Follow Home Visits by Hospital and Municipality After Discharge of Frail Elderly Patients From Nykøbing Falster Hospital - a Randomized Controlled Trial
Verified date | January 2015 |
Source | Roskilde County Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | Denmark: Region Zealand |
Study type | Interventional |
The study aims to assess whether a follow home visit after discharge of frail elderly
patients from Nykøbing Falster Hospital reduces the risk of readmission within 180 days.
Staff from the hospital ward identifies patients fulfilling the inclusion criteria and
refers the patients to two project nurses at the hospital (follow home team). One of the
project nurses gets the informed consent from the patient, or in case of a patient who is
not able to give informed consent, from the family and general practitioner. The patient is
then randomized to intervention (follow home visit after discharge) or control.
In the intervention group, the hospital project nurse and the patient meets with the
municipal nurse in the patient's home on the same day the patient is being discharged from
the hospital. During this visit the discharge from the hospital and the actual functioning
of the patient in his own surroundings is reviewed, using a structured assessment.
Status | Completed |
Enrollment | 545 |
Est. completion date | January 2015 |
Est. primary completion date | December 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 65 Years and older |
Eligibility |
Inclusion Criteria: - Discharge from the Medical Department, Geriatric Department B, Emergency Department, Surgical Department or Department of Orthopedic Surgery at Nykøbing Falster Hospital. Address in Guldborgsund, Lolland or Vordingborg municipalities. Minimum 3 out of the following 9 criteria must be met: - The patient's behavior raises suspicion of cognitive disorders, including dementia, which affects how the patient masters his daily life. - The patient has an abuse of medication, drugs and / or alcohol, which affects how the patient masters his daily life. - The patient has a psychiatric disorder that affects how the patient masters his daily life. - The patient has a strained - or no - social network. - The patient has a significantly lower level of functioning compared to prior to admission. - The patient uses 6 or more different types of drugs at the time of discharge. - The patient has, within the preceding 6 months, had at least one acute hospital contact beyond the current. - The patient has a fall-history where the cause is not yet determined. - There are suspicion of housing conditions that hamper the patient in his daily activities. Exclusion Criteria: - Patients who do not want to participate or cannot give informed consent. Discharge between 4 pm and 8 am Monday-Friday and discharge on weekends. Patients with planned readmission. Former participant in the study. Patients who needs terminal care. |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
Country | Name | City | State |
---|---|---|---|
Denmark | Region Zealand, Nykøbing Falster Hospital | Nykøbing Falster |
Lead Sponsor | Collaborator |
---|---|
Roskilde County Hospital | Guldborgsund Municipality, Lolland Municipality, Nykøbing Falster County Hospital, Region Zealand, Vordingborg Municipality |
Denmark,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The proportion of patients who are readmitted | 180 days | No | |
Secondary | Total use of municipal services (nursing, practical help, personal care) | 180 days | No | |
Secondary | The number of contacts with general practitioner | 180 days | 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 | Death | 180 days | No |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04880486 -
Weight Training With VR in Out-Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease
|
N/A | |
Completed |
NCT05116644 -
Prevalence of Factors Contributing to Unplanned Hospital Readmission of Older Medical Patients
|
||
Completed |
NCT04126980 -
Early Discharged Lumbar Spine Fusion Reduced Postoperative Readmissions: A Follow-up Study in a National Cohort
|
||
Completed |
NCT04540315 -
Reducing Surgical Readmissions Through Mobile Technology
|
N/A | |
Completed |
NCT01897870 -
The Effect of a Pharmacist Home Visit on Drug-related Problems Post-discharge.
|
N/A | |
Completed |
NCT03053778 -
Individualised Follow-up After Valve Surgery
|
N/A | |
Recruiting |
NCT04738669 -
Mhealth and Teach-Back Effectiveness In 30-Day Readmissions Reduction
|
N/A | |
Completed |
NCT05355324 -
Risk Factor for Readmission and Death of Lower Respiratory Infections in Older Adults
|
||
Active, not recruiting |
NCT04192175 -
Identification of Patients Admitted With COPD Exacerbations and Predicting Readmission Risk Using Machine Learning
|
||
Recruiting |
NCT04480034 -
Obesity Surgery During 2020 Italian Pandemic
|
||
Completed |
NCT03116074 -
Interactive Digital Health Tools to Improve Patient Safety in Acute Care
|
N/A | |
Completed |
NCT03796923 -
Models of Care in the Transition From the Secondary to the Primary Sector Among the Frailest Elderly
|
N/A | |
Completed |
NCT03519139 -
Individual Nutritional Intervention for the Prevention of Readmission Among Geriatric Patients
|
N/A | |
Completed |
NCT02094040 -
Municipality-based Post-discharge Follow-up Visits
|
N/A | |
Active, not recruiting |
NCT04071951 -
Pharmacist Intervention to Reduce Post-Hospitalization Utilization
|
N/A | |
Completed |
NCT05272267 -
Transforming ED Throughput With AI-Driven Clinical Decision Support System
|
N/A | |
Completed |
NCT06219668 -
Comparison of Omentopexy and Clips on the Staple Line During Laparoscopic Sleeve Gastrectomy
|
N/A | |
Not yet recruiting |
NCT05798065 -
Inpatient Endoscopy Procedure Planning Delays and Impact on Length of Stay and 30-day Readmission
|