Interventional Study of Videoconferences Between Hospital and Municipality - a Randomized Controlled Trial

NCT02303249 | Completed

• 1 other identifier: SJ-337
• Study Type: interventional
• Target: 1,387
• Locations: 1 country
• Sites: 1

Brief Summary

The study aims to assess whether the review of discharge planning followed by a cross-sectoral video conference in connection with discharge of medical and geriatric patients at Roskilde and Køge hospitals as well as patients from the Emergency Department at Køge Hospital reduces the proportion of patients who are readmitted within 180 days. Project nurses at the two hospitals identifies all patients fulfilling the inclusion criteria (above 55 years of age, discharged to their own home), get informed consent and performs the video conferences. Within a few hours after discharge a video conference is held in the patient´s home including the patient,the municipal nurse and the project nurse at the hospital. During the video conference the discharge is reviewed using a structured assessment. The survey is conducted as an open, randomized intervention study.

Conditions

Discharge Planning; Readmission, Hospital

Outcome Measures

Primary Outcomes (1)

• The proportion of patients who are readmitted

  Acute readmissions to any hospital in Denmark

  180 days

Secondary Outcomes (6)

• Use of municipal services (nursing, practical help, personal care)

  4 months

• Time to readmission

  180 days

• Total number of readmissions

  180 days

• Total number of days of readmission

  180 days

• The number of contacts with general practitioner

  180 days

Study Arms (2)

Intervention

EXPERIMENTAL

Review of discharges and cross-sectoral video conferencing immediately after discharge

Other: Review of discharges and cross-sectoral video conferencing immediately after discharge

Control

NO INTERVENTION

Standard health care services

Interventions

Review of discharges and cross-sectoral video conferencing immediately after discharge OTHER

The intervention is video conference which is randomized and is an intervention that is assigned by the investigator.

Intervention

Eligibility Criteria

• Age: 55 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Discharge from the Medical Department and Geriatric Department at Roskilde and Køge hospitals or the Emergency Department at Køge Hospital.
• Address in Køge, Greve, Faxe, Solrød, Lejre, Stevns or Roskilde municipalities. Discharges between 8 am and 4 pm Monday-Friday. Acute/subacute admission to the hospital

You may not qualify if:

• Patients who cannot give consent to participation. Discharge to a nursing home or relief care home. Patients with planned readmission. Former participant in the study. Patients who are included in the Sub Acute Project. Patients who needs terminal care

Sponsors & Collaborators

• Zealand University Hospital: lead
• Region Zealand: collaborator
• Roskilde Municipality: collaborator
• Køge Municipality: collaborator
• Stevns Municipality: collaborator
• Solrød Municipality: collaborator
• Lejre Municipality: collaborator
• Faxe Municipality: collaborator
• Greve Municipality: collaborator

Study Sites (1)

Region Zealand, Roskilde and Køge Hospitals

Køge, Denmark

Location

Study Officials

• Solvejg Henneberg Pedersen, dr.

  Region Zealand

  STUDY DIRECTOR

• Birgitte Dreyer Sørensen, cand. scient. san. publ.

  Region Zealand

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: November 7, 2014
• First Posted: November 27, 2014
• Study Start: July 1, 2013
• Primary Completion: December 1, 2014
• Study Completion: January 1, 2015
• Last Updated: January 12, 2015

Record last verified: 2015-01

Locations

DK (1)