Use of a Brief Phone Call After ED Discharge

NCT01893931 | Completed

• 1 other identifier: 12-1278
• Study Type: interventional
• Target: 2,003
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine whether a phone call from a nurse within 1-3 days after discharge from the Emergency Department (ED) decreases return visits to the ED/ hospital admissions/ death (combined outcome) in patients age 65 and above. As secondary outcomes, time to follow up appointment with physician and economic impact of this intervention will be assessed. Patients 65 years of age and older will be randomized following discharge from the ED into one of two groups. Group 1(Intervention) will receive a phone call collecting information about understanding of ED discharge instructions and guiding patient through the discharge instructions, and Group 2 (Placebo) will receive a follow up phone call for a satisfaction survey. We hypothesize return visits to the ED and readmission to the hospital will decrease as a result of the nurse phone call intervention.

Conditions

Discharge Planning; Emergency Medicine; Geriatrics; Patient Readmission

Keywords

Geriatrics; Emergency Medicine; Care Transitions

Outcome Measures

Primary Outcomes (1)

• Time to the first occurrence of hospital readmission, emergency department visit, or death.

  Measured by (1) Self-report via a phone call to the patient or care giver up to 35 days post-discharge, and (2) Utilization of existing medical records.

  0-35 days

Secondary Outcomes (2)

• Time elapsed from initial emergency department visit to Physician follow up

  0-35 Days

• Patient satisfaction as reported by phone survey

  0-35 Days

Study Arms (2)

Satisfaction Survey

PLACEBO COMPARATOR

Within 1-3 days after ED discharge, patients will be called by a nurse to complete a brief satisfaction survey.

Behavioral: Placebo Comparator

ED Discharge and Medication Call

ACTIVE COMPARATOR

Within 1-3 days after ED discharge, patients will receive a follow up phone call from a nurse to review discharge instructions, review medication instructions, and provide any necessary patient navigation.

Behavioral: ED Discharge & Medication Call

Interventions

ED Discharge & Medication Call BEHAVIORAL

Patients will receive a follow up phone call from a nurse to review discharge instructions and provide any necessary patient navigation.

ED Discharge and Medication Call

Placebo Comparator BEHAVIORAL

Satisfaction Survey

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• All patients age 65 and above discharged from the ED
• English speaking

You may not qualify if:

• Younger than 65 years of age
• Unable to pass 6-item memory screener
• Lives in skilled nursing facility

Sponsors & Collaborators

• University of North Carolina, Chapel Hill: lead
• The William R. Kenan, Jr. Charitable Trust: collaborator

Study Sites (1)

University of North Carolina

Chapel Hill, North Carolina, 27599, United States

Location

Related Publications (1)

• Biese KJ, Busby-Whitehead J, Cai J, Stearns SC, Roberts E, Mihas P, Emmett D, Zhou Q, Farmer F, Kizer JS. Telephone Follow-Up for Older Adults Discharged to Home from the Emergency Department: A Pragmatic Randomized Controlled Trial. J Am Geriatr Soc. 2018 Mar;66(3):452-458. doi: 10.1111/jgs.15142. Epub 2017 Dec 22.

  PMID: 29272029 DERIVED

Study Officials

• John S Kizer, M.D.

  University of North Carolina, Chapel Hill

  PRINCIPAL INVESTIGATOR

• Kevin Biese, M.D.

  University of North Carolina, Chapel Hill

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 24, 2013
• First Posted: July 9, 2013
• Study Start: August 1, 2013
• Primary Completion: May 1, 2016
• Study Completion: May 1, 2016
• Last Updated: July 11, 2016

Record last verified: 2016-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)