A Case Management Study Targeted to Reduce Health Care Utilization for Frequent Emergency Department Visitors
1 other identifier
interventional
15,000
1 country
1
Brief Summary
The aim of the study is to determine whether a nurse-managed telephone-based case-management intervention can reduce healthcare utilization and improve self-assessed health status in frequent emergency department users.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2010
Longer than P75 for not_applicable
1 active site
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
Study Start
First participant enrolled
July 1, 2010
CompletedFirst Submitted
Initial submission to the registry
November 4, 2013
CompletedFirst Posted
Study publicly available on registry
November 15, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedSeptember 15, 2015
September 1, 2015
4.8 years
November 4, 2013
September 13, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Number of outpatient visits to medical doctor
During first two years of follow-up
Number of hospitalizations
During first two years of follow-up
Secondary Outcomes (3)
Mortality
During first two years of follow-up
Length of hospital stay
During first two years of follow-up
Total health care costs
During first two years of follow-up
Study Arms (2)
Case-management intervention
EXPERIMENTALReceiving nurse-managed intervention
Control arm
NO INTERVENTIONControl group not receiving any intervention
Interventions
The participants in the intervention group receives a nurse-managed case-management intervention that is regularly delivered by telephone or, when necessary, in person.
Eligibility Criteria
You may qualify if:
- Recent history of frequent visits to emergency department
- Anticipated sustained high visit frequency
- Living in one of five Swedish counties where trial is ongoing
You may not qualify if:
- Moribund patients
- Psychosis
- Severe hearing impairment or language difficulties
- Other factors that may make it impossible or impractical for a patient to participate in the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Health Navigatorlead
- Region Stockholmcollaborator
- Ostergotland County Council, Swedencollaborator
- Vastra Gotaland Regioncollaborator
- Uppsala County Council, Swedencollaborator
- Sormland County Council, Swedencollaborator
Study Sites (1)
Stockholms Läns Landsting
Stockholm, Sweden
Related Publications (1)
Reinius P, Johansson M, Fjellner A, Werr J, Ohlen G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013 Oct;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a.
PMID: 22960802RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Gsutaf Edgren, MD PhD
Health Navigator
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Senior scientific advisor / associate professor
Study Record Dates
First Submitted
November 4, 2013
First Posted
November 15, 2013
Study Start
July 1, 2010
Primary Completion
April 1, 2015
Study Completion
December 1, 2016
Last Updated
September 15, 2015
Record last verified: 2015-09