NCT01108172

Brief Summary

The purpose of this study is to see whether a Virtual Ward reduces readmissions after hospital discharge.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
1,928

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2010

Longer than P75 for not_applicable

Geographic Reach
1 country

5 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 13, 2010

Completed
8 days until next milestone

First Posted

Study publicly available on registry

April 21, 2010

Completed
1 month until next milestone

Study Start

First participant enrolled

June 1, 2010

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2013

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2014

Completed
Last Updated

December 9, 2013

Status Verified

December 1, 2013

Enrollment Period

3 years

First QC Date

April 13, 2010

Last Update Submit

December 6, 2013

Conditions

Acute Disease

Outcome Measures

Primary Outcomes (1)

  • Composite of readmission to hospital or death.

    A binary outcome variable for each patient, representing either readmission to hospital or death within 30 days of hospital discharge. A research assistant blinded to the assignment will ascertain this information via telephone using a standardized script. Second, we may also ascertain this information by linking the data we collect to administrative databases housed at the Institute for Clinical Evaluative Sciences.

    30 days after hospital discharge

Secondary Outcomes (20)

  • Composite of readmission or death

    90 days after discharge

  • Composite of readmission or death

    6 months after discharge

  • Composite of readmission or death

    One year after discharge

  • Emergency department visits

    30 days after discharge

  • Emergency department visits

    90 days after discharge

  • +15 more secondary outcomes

Study Arms (2)

Usual Care

ACTIVE COMPARATOR
Other: Usual care

Virtual Ward

EXPERIMENTAL
Other: Virtual Ward

Interventions

Virtual WardOTHER

A multidisciplinary team to optimize medical and social care for patients residing in their own homes

Virtual Ward
Usual careOTHER

The usual care provided to patients after discharge from hospital

Usual Care

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Discharge from medical service
  • LACE score greater than or equal to 10
  • Age greater than or equal or 18
  • Resident in Toronto Central Local Health Integration Network catchment area
  • Patient or designate able to speak English well enough for follow up telephone calls

You may not qualify if:

  • Previously enrolled in study
  • Discharged to a rehabilitation or complex continuing care facility

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

St. Michael's Hospital

Toronto, Ontario, M5B 1W8, Canada

Location

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada

Location

Toronto Central Community Care Access Centre

Toronto, Ontario, Canada

Location

University Health Network

Toronto, Ontario, Canada

Location

Women's College Hospital

Toronto, Ontario, Canada

Location

Related Publications (2)

  • van Walraven C, Dhalla IA, Bell C, Etchells E, Stiell IG, Zarnke K, Austin PC, Forster AJ. Derivation and validation of an index to predict early death or unplanned readmission after discharge from hospital to the community. CMAJ. 2010 Apr 6;182(6):551-7. doi: 10.1503/cmaj.091117. Epub 2010 Mar 1.

    PMID: 20194559BACKGROUND

  • Dhalla IA, O'Brien T, Morra D, Thorpe KE, Wong BM, Mehta R, Frost DW, Abrams H, Ko F, Van Rooyen P, Bell CM, Gruneir A, Lewis GH, Daub S, Anderson GM, Hawker GA, Rochon PA, Laupacis A. Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical trial. JAMA. 2014 Oct 1;312(13):1305-12. doi: 10.1001/jama.2014.11492.

    PMID: 25268437DERIVED

MeSH Terms

Conditions

Acute Disease

Condition Hierarchy (Ancestors)

Disease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Irfan Dhalla, MD, MSc

    St. Michael's Hospital/University of Toronto

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Staff Physician & Scientist

Study Record Dates

First Submitted

April 13, 2010

First Posted

April 21, 2010

Study Start

June 1, 2010

Primary Completion

June 1, 2013

Study Completion

June 1, 2014

Last Updated

December 9, 2013

Record last verified: 2013-12

Locations

CA(5)