Effect of Discharge Via an Intermediate Care Unit
Can Discharge Via an Intermediate Care Unit Prevent Aggravation of Disease and Loss of Functionality, Without Increasing the Level of Cost? A Controlled Observational Study
1 other identifier
interventional
328
1 country
4
Brief Summary
The main goal is to investigate the following topics:
- 1.Can discharge via the Intermediate Care Unit in Stjørdal, compared to direct discharge to Verdal Municipality, be equally effective in preventing aggravation of disease and loss of function for patients over 60 years that have been hospitalized in Levanger hospital?
- 2.Are the cost by discharge to the Intermediate Care Unit in Stjørdal, when the hospital is not located in the same Municipality, comparable to the cost by direct discharge to the Municipality of Verdal, for patients over 60 years that have been hospitalized in Levanger hospital?
- 3.Which issues are considered important by patients and health personnel during discharge, arrival and follow up in the Municipality, to ensure an optimal interaction between the involved units.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2010
Longer than P75 for not_applicable
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2010
CompletedFirst Submitted
Initial submission to the registry
October 11, 2012
CompletedFirst Posted
Study publicly available on registry
October 15, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedDecember 8, 2015
December 1, 2015
3.8 years
October 11, 2012
December 7, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Hospital readmission
Acute admission to hospital within 30 days from previous discharge
30 days
Use of local health care services
up to 1 year
Secondary Outcomes (4)
death
up to 1 year
hospital admission
up to 1 year
functional assessment status
up to 6 months
Health service cost
up to 1 year
Study Arms (3)
Intermediate care unit
EXPERIMENTALFollow-up treatment and care in a intermediate care unit after discharge from hospital
Local health care 1
ACTIVE COMPARATORDischarge from hospital to usual care as provided by the local health and social care (Verdal)
Local health care 2
ACTIVE COMPARATORDischarge from hospital to usual care as provided by the local health and social care (Stjørdal)
Interventions
Eligibility Criteria
You may qualify if:
- Patients 60 years old or older from Stjørdal- or Verdal municipality,
- given consent,
- admitted from their home,
- diagnostics completed and necessary treatment started
- the patient need not less than 3-4 days institutionalization for treatment/rehabilitation/care
You may not qualify if:
- Patients with severe dementia
- Patients with severe disease who cannot give consent
- Patients with severe disease with short life expectancy (including severe cancer)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
Sykehuset Levanger
Levanger, Norway
Distriksmedisinsk Senter
Stjørdal, Norway
Stjørdal Kommune
Stjørdal, Norway
Verdal kommune
Verdal, Norway
Related Publications (3)
Dahl U, Johnsen R, Saetre R, Steinsbekk A. The influence of an intermediate care hospital on health care utilization among elderly patients--a retrospective comparative cohort study. BMC Health Serv Res. 2015 Feb 1;15:48. doi: 10.1186/s12913-015-0708-4.
PMID: 25638151RESULTDahl U, Steinsbekk A, Jenssen S, Johnsen R. Hospital discharge of elderly patients to primary health care, with and without an intermediate care hospital - a qualitative study of health professionals' experiences. Int J Integr Care. 2014 Apr 30;14:e011. doi: 10.5334/ijic.1156. eCollection 2014 Apr.
PMID: 24868194RESULTDahl U, Steinsbekk A, Johnsen R. Effectiveness of an intermediate care hospital on readmissions, mortality, activities of daily living and use of health care services among hospitalized adults aged 60 years and older--a controlled observational study. BMC Health Serv Res. 2015 Aug 28;15:351. doi: 10.1186/s12913-015-1022-x.
PMID: 26315779RESULT
Study Officials
- STUDY DIRECTOR
Roar Johnsen, PhD
Norwegian University of Science and Technology
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 11, 2012
First Posted
October 15, 2012
Study Start
February 1, 2010
Primary Completion
December 1, 2013
Study Completion
December 1, 2013
Last Updated
December 8, 2015
Record last verified: 2015-12