Care Transitions in Renal Disease Patients
CT
1 other identifier
observational
3,300
1 country
1
Brief Summary
The goal of this pilot is to reduce the 30-day hospital readmission rate for dialysis patients. It is a quality improvement project that consistent of 4 "tracks." Tracks 1 \& 2: Implement use of checklists of activities for staff to complete when patients are admitted to the hospital, and post-hospitalization with emphasis on fluid assessment, nutrition management, patient coaching, and communication between institutions. Track 3: Work with physicians to develop process to individualize post-hospitalization dialysis orders and improve medication reconciliation. Track 4: Use a renal Care Transitions Case Manager to follow patients in the hospital and 30 days post-hospitalization to facilitate care and patient coaching.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Mar 2013
1 active site
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
March 1, 2013
CompletedFirst Submitted
Initial submission to the registry
April 22, 2013
CompletedFirst Posted
Study publicly available on registry
April 30, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedApril 30, 2013
April 1, 2013
1.3 years
April 22, 2013
April 25, 2013
Conditions
Outcome Measures
Primary Outcomes (1)
30-day readmission rate
Number of hospitalizations that occur within 30 days after discharge from an initial index hospitalization (convert to percentage of 30-day readmissions).
Participants will be followed for the duration of each hospital stay and 30 days post-hospitalization, for an expected average of 37 days.
Eligibility Criteria
Adult hemodialysis patients
You may qualify if:
- Chronic hemodialysis patients
- All patients admitted to the hospital during the study period
You may not qualify if:
- Patients \<18 years old
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Fresenius Medical Care North Americalead
- Amgencollaborator
Study Sites (1)
Fresenius
Franklin, Tennessee, 37067, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 22, 2013
First Posted
April 30, 2013
Study Start
March 1, 2013
Primary Completion
June 1, 2014
Study Completion
December 1, 2014
Last Updated
April 30, 2013
Record last verified: 2013-04