Can a Rapid 2 Day Followup After Discharge From the ED Reduce Readmissions and Death for Patients 75 Years and Older?
NCT01769495 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 26
Last updated 2017-04-17
Summary
Our hypothesis is that a rapid follow up for elderly patients in a Geriatric Clinic discharged from the Emergency Department (ED) will have fewer unplanned return ED visits and fewer unplanned hospital admissions with no attendant increase in mortality.
Patients 75 years of age and older will be randomized following discharge from the ED into two groups. The first will receive standard post ED care. The second will receive an appointment to our Geriatric Clinic within 2-3 days for stabilization, further treatment and contact with the patient's primary physician to communicate the course of the patient's illness and to schedule subsequent follow-up with the patients regular medical provider.
There will be two primary outcomes: The first will be a composite of morality and/or return to the ED at 30 days, and the secondary primary outcome will be mortality. Economic data regarding resource utilization by patients will also be analyzed.
Conditions
- Emergencies
Interventions
- OTHER
-
2-3 day return appointment
2-3 appointment in geriatric clinic following ED discharge
Sponsors & Collaborators
-
The Duke Endowment
collaborator OTHER -
The William R. Kenan, Jr. Charitable Trust
collaborator OTHER -
University of North Carolina, Chapel Hill
lead OTHER
Principal Investigators
-
John S Kizer, MD · UNC Chapel Hill, NC
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-08-31
- Primary Completion
- 2014-09-30
- Completion
- 2014-09-30
Countries
- United States
Study Locations
More Related Trials
-
Point-of-Care Follow-Up With Primary Care After Emergency Department Discharge
NCT02740348 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Distracted Driving Campaign
NCT02437149 ·Status: UNKNOWN ·Phase: NA
-
Livestreaming From Smartphones as a Supplement to Emergency Calls
NCT04061187 ·Status: COMPLETED
-
Outcomes in Youth Visiting the ED With Mental Health Issues: a Pilot Text Based Intervention
NCT02744326 ·Status: UNKNOWN ·Phase: NA
-
Time-limited Trials in the Emergency Department
NCT06378151 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
the Observance of Emergency Exit Treatments During the Stay of Care at the Exit of Reims Emergencies
NCT03836534 ·Status: COMPLETED
-
Using Point-of-Care Video Prescriptions to Improve Aftercare Following Discharge From a Pediatric Emergency Department
NCT01543438 ·Status: UNKNOWN ·Phase: NA
-
Impact on Mid-term Mortality of Guidelines for ICU Admission of Elderly Patients Arriving in Emergency Departments
NCT01508819 ·Status: COMPLETED
-
Patient Follow-up After Consultation in Emergency Department
NCT03117179 ·Status: COMPLETED ·Phase: NA
-
the Patients Journey Through Surgical Admission Ward Versus Emergency Department
NCT01733511 ·Status: COMPLETED
-
Video Discharge Instructions for Fever and ED Recidivism
NCT01655251 ·Status: COMPLETED ·Phase: NA
-
Impact of Mobile Text Messaging on Follow Up Rates After Discharge From the Pediatric Emergency Department
NCT03674879 ·Status: WITHDRAWN ·Phase: NA
-
The Copenhagen Triage Algorithm
NCT02698319 ·Status: COMPLETED ·Phase: NA
-
Emergency Medical Technician Treat-and-leave Patients Receiving Telemedicine Consultation With Emergency Medical Dispatch Physician - a Controlled Before and After Pilot-study
NCT02228317 ·Status: COMPLETED ·Phase: NA
-
EMail Reminder to Follow up With Primary Physician
NCT02274831 ·Status: COMPLETED ·Phase: NA
-
Physiotherapy Led Community Intervention for Older Adults Discharged From the Emergency Department
NCT04983602 ·Status: COMPLETED ·Phase: NA
-
The Effects of Post-hospitalization Telehealth Care in the Patients Who Admitted Via Emergency Department
NCT01247519 ·Status: UNKNOWN ·Phase: NA
-
Effect and Experience of PreHomeCare of Preterm Infants Using Telecommunication and Smartphone Application
NCT02581800 ·Status: COMPLETED ·Phase: NA
-
Differentiated Access to Out-of-hours Primary Care Through Emergency Access
NCT02572115 ·Status: COMPLETED ·Phase: NA
-
Impact of an Optimized Communication on the Readmission for Adverse Drug Event
NCT03725046 ·Status: COMPLETED ·Phase: NA
-
Pharmaceutical Intervention Program at Readmission and User Satisfaction in a Emergency Department
NCT03116607 ·Status: COMPLETED ·Phase: NA
-
Using Video Transmission for Telephone Triage of Children
NCT03874520 ·Status: COMPLETED ·Phase: NA
-
Videoconferencing Between Ambulances and Physician at the Emergency Medical Dispatch Center, Effects on On-Site Patient Treatment and Patterns of Referral
NCT02095067 ·Status: UNKNOWN ·Phase: NA
-
Examining the Effectiveness and Implementation of the Emergency Department Patient-Activated Transition to Care At Home Tool
NCT06668636 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Emergency Care at Home
NCT06299774 ·Status: COMPLETED ·Phase: NA