NCT02318680

Brief Summary

The study aims to assess whether a follow home visit after discharge of frail elderly patients from Nykøbing Falster Hospital reduces the risk of readmission within 180 days. Staff from the hospital ward identifies patients fulfilling the inclusion criteria and refers the patients to two project nurses at the hospital (follow home team). One of the project nurses gets the informed consent from the patient, or in case of a patient who is not able to give informed consent, from the family and general practitioner. The patient is then randomized to intervention (follow home visit after discharge) or control. In the intervention group, the hospital project nurse and the patient meets with the municipal nurse in the patient's home on the same day the patient is being discharged from the hospital. During this visit the discharge from the hospital and the actual functioning of the patient in his own surroundings is reviewed, using a structured assessment.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
545

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2013

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

January 1, 2013

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2014

Completed
10 days until next milestone

First Submitted

Initial submission to the registry

December 11, 2014

Completed
6 days until next milestone

First Posted

Study publicly available on registry

December 17, 2014

Completed
15 days until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2015

Completed
Last Updated

January 12, 2015

Status Verified

January 1, 2015

Enrollment Period

1.9 years

First QC Date

December 11, 2014

Last Update Submit

January 9, 2015

Conditions

Discharge PlanningReadmissionHospitalFrail Elderly Patients

Outcome Measures

Primary Outcomes (1)

  • The proportion of patients who are readmitted

    180 days

Secondary Outcomes (6)

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

    180 days

  • The number of contacts with general practitioner

    180 days

  • Time to readmission

    180 days

  • Total number of readmissions

    180 days

  • Total number of days of readmission

    180 days

  • +1 more secondary outcomes

Study Arms (2)

Intervention

EXPERIMENTAL

Review of follow home visits after discharge from Nykøbing Falster Hospital

Other: Review of follow home visits after discharge from Nykøbing Falster Hospital

Control

NO INTERVENTION

Standard health care and discharge services

Interventions

Review of follow home visits after discharge from Nykøbing Falster HospitalOTHER

The intervention is follow home visits which is randomized and is an intervention that is assigned by the investigator.

Intervention

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • Discharge from the Medical Department, Geriatric Department B, Emergency Department, Surgical Department or Department of Orthopedic Surgery at Nykøbing Falster Hospital.
  • Address in Guldborgsund, Lolland or Vordingborg municipalities.
  • Minimum 3 out of the following 9 criteria must be met:
  • The patient's behavior raises suspicion of cognitive disorders, including dementia, which affects how the patient masters his daily life.
  • The patient has an abuse of medication, drugs and / or alcohol, which affects how the patient masters his daily life.
  • The patient has a psychiatric disorder that affects how the patient masters his daily life.
  • The patient has a strained - or no - social network.
  • The patient has a significantly lower level of functioning compared to prior to admission.
  • The patient uses 6 or more different types of drugs at the time of discharge.
  • The patient has, within the preceding 6 months, had at least one acute hospital contact beyond the current.
  • The patient has a fall-history where the cause is not yet determined.
  • There are suspicion of housing conditions that hamper the patient in his daily activities.

You may not qualify if:

  • Patients who do not want to participate or cannot give informed consent. Discharge between 4 pm and 8 am Monday-Friday and discharge on weekends. Patients with planned readmission. Former participant in the study. Patients who needs terminal care.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Region Zealand, Nykøbing Falster Hospital

Nykøbing Falster, Denmark

Location

Related Publications (1)

  • Lembeck MA, Thygesen LC, Sorensen BD, Rasmussen LL, Holm EA. Effect of single follow-up home visit on readmission in a group of frail elderly patients - a Danish randomized clinical trial. BMC Health Serv Res. 2019 Oct 25;19(1):751. doi: 10.1186/s12913-019-4528-9.

    PMID: 31653219DERIVED

Study Officials

  • Maurice Antoine Lembeck, MD

    Region Zealand, Nykøbing Falster Hospital

    STUDY DIRECTOR

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

December 11, 2014

First Posted

December 17, 2014

Study Start

January 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)