Capturing Readmission Internationally to Prevent Readmission by Safer@Home Group

NCT02621723 | Unknown

• 1 other identifier: VUMedicalcenter
• Study Type: observational
• Target: 1,000
• Locations: 3 countries
• Sites: 8

Brief Summary

CURIOS@ is a prospective multi-centre cross-sectional study to investigate readmissions in participating units. The data collected is derived from two clinical episodes: the episode containing the re-admission and the previous admission (index admission). The main aims are: Outcomes:

• Risk factors to predict preventable readmissions in non-surgical patients
• Percentage of subjectively non-preventable and preventable readmissions from patient, carer, their nurses and their physician's point of view
• Comparison for risk factors on readmissions throughout Europe
• Increasing awareness and knowledge for health-care workers on readmissions and its preventability

Conditions

Hospital Readmission

Keywords

Preventability

Outcome Measures

Primary Outcomes (1)

• Percentage of readmissions deemed preventable by patients, their informal carers, nurses and physicians

  Of all the readmissions in the study, we will look at the readmissions which are deemed potentially preventable (YES or NO) by all partners of care chain. In the end this will give us a percentage of readmissions judged as potentially preventable by all partners of care chain.

  1 year

Secondary Outcomes (2)

• Causes of preventable readmissions

  1 year

• Risk factors for preventable readmissions

  1 year

Eligibility Criteria

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

Study Population

All patients readmitted for at least one night for a medical specialism after any type of admission at any ward in the previous 30 days, with an overnight stay. This could be from any ward, for any procedure (elective/non-elective)

You may qualify if:

• Adult patients aged 18 or above admitted to hospital as unscheduled medical admission for a minimum of a single night following a previous admission within 30 days
• Index admission can be for any procedure (elective/non-elective)
• Index admission at any hospital ward (except psychiatry, pediatrics or gynaecology) for a minimum of a single night during the previous 30 days
• Readmission should be to a medical ward (Medical ward: Cardiology, geriatrics, gastroenterology, hematology, internal medicine, nephrology, neurology, oncology, pulmonary medicine, rheumatology.)
• If a patient is readmitted more than once within the study period, only the first readmission will be included
• The port of entry is through an Emergency Department, Acute Medical Unit or any other clinical ward (i.e. department of internal medicine).
• Patients should all be capable of understanding the study and give written informed consent. They should all be mentally competent.

You may not qualify if:

• Patients readmitted electively for procedures, surgery or chemotherapy
• Patients readmitted for a non-medical specialism (surgery, urology, ent etc..)
• Patients admitted or readmitted who are pregnant
• Patients admitted or readmitted aged under 18
• Patients index or readmission for pediatrics, psychiatry, gynaecology
• Patients who stayed less than one night during index and readmission
• Patients who have been admitted to another institution in their index admission (To facilitate timely case identification and ready access to treating physicians, we will only review same-hospital readmissions)
• A second readmission for the same patient within the study period

Sponsors & Collaborators

• Amsterdam UMC, location VUmc: lead

Study Sites (8)

Hospital of South West Jutland

Esbjerg, 5270 Odense N, Denmark

Location

VU University Medical Centre

Amsterdam, North Holland, 1081 HV, Netherlands

Location

Academic Medical Centre (AMC)

Amsterdam, 1105AZ, Netherlands

Location

Albert Schweitzer

Dordrecht, 3300 AK, Netherlands

Location

Westfriesgasthuis

Hoorn, 1624 NP, Netherlands

Location

VieCuri Hospital

Venlo, 5912 BL, Netherlands

Location

Ysbyty Gwynedd Hospital

Bangor, LL57 2PW, United Kingdom

Location

University Hospital of South Manchester

Manchester, M13 9WL, United Kingdom

Location

Related Publications (13)

• Greysen SR, Stijacic Cenzer I, Auerbach AD, Covinsky KE. Functional impairment and hospital readmission in Medicare seniors. JAMA Intern Med. 2015 Apr;175(4):559-65. doi: 10.1001/jamainternmed.2014.7756.

  PMID: 25642907 BACKGROUND

• Zanocchi M, Maero B, Martinelli E, Cerrato F, Corsinovi L, Gonella M, Ponte E, Luppino A, Margolicci A, Molaschi M. Early re-hospitalization of elderly people discharged from a geriatric ward. Aging Clin Exp Res. 2006 Feb;18(1):63-9. doi: 10.1007/BF03324642.

  PMID: 16608138 BACKGROUND

• Donze J, Aujesky D, Williams D, Schnipper JL. Potentially avoidable 30-day hospital readmissions in medical patients: derivation and validation of a prediction model. JAMA Intern Med. 2013 Apr 22;173(8):632-8. doi: 10.1001/jamainternmed.2013.3023.

  PMID: 23529115 BACKGROUND

• van Walraven C, Wong J, Forster AJ. LACE+ index: extension of a validated index to predict early death or urgent readmission after hospital discharge using administrative data. Open Med. 2012 Jul 19;6(3):e80-90. Print 2012.

  PMID: 23696773 BACKGROUND

• Drame M, Lang PO, Novella JL, Narbey D, Mahmoudi R, Laniece I, Somme D, Gauvain JB, Heitz D, Voisin T, de Wazieres B, Gonthier R, Ankri J, Saint-Jean O, Jeandel C, Couturier P, Blanchard F, Jolly D. Six-month outcome of elderly people hospitalized via the emergency department: the SAFES cohort. Rev Epidemiol Sante Publique. 2012 Jun;60(3):189-96. doi: 10.1016/j.respe.2011.11.004. Epub 2012 May 16.

  PMID: 22608011 BACKGROUND

• Cooksley T, Nanayakkara PW, Nickel CH, Subbe CP, Kellett J, Kidney R, Merten H, Van Galen L, Henriksen DP, Lassen AT, Brabrand M; safer@home consortium. Readmissions of medical patients: an external validation of two existing prediction scores. QJM. 2016 Apr;109(4):245-8. doi: 10.1093/qjmed/hcv130. Epub 2015 Jul 10.

  PMID: 26163662 BACKGROUND

• Hansen LO, Williams MV, Singer SJ. Perceptions of hospital safety climate and incidence of readmission. Health Serv Res. 2011 Apr;46(2):596-616. doi: 10.1111/j.1475-6773.2010.01204.x. Epub 2010 Nov 24.

  PMID: 21105868 BACKGROUND

• Billings J, Blunt I, Steventon A, Georghiou T, Lewis G, Bardsley M. Development of a predictive model to identify inpatients at risk of re-admission within 30 days of discharge (PARR-30). BMJ Open. 2012 Aug 10;2(4):e001667. doi: 10.1136/bmjopen-2012-001667. Print 2012.

  PMID: 22885591 BACKGROUND

• Jackson AH, Fireman E, Feigenbaum P, Neuwirth E, Kipnis P, Bellows J. Manual and automated methods for identifying potentially preventable readmissions: a comparison in a large healthcare system. BMC Med Inform Decis Mak. 2014 Apr 5;14:28. doi: 10.1186/1472-6947-14-28.

  PMID: 24708889 BACKGROUND

• Davies S, Saynina O, Schultz E, McDonald KM, Baker LC. Implications of metric choice for common applications of readmission metrics. Health Serv Res. 2013 Dec;48(6 Pt 1):1978-95. doi: 10.1111/1475-6773.12075. Epub 2013 Jun 6.

  PMID: 23742056 BACKGROUND

• Blunt I, Bardsley M, Grove A, Clarke A. Classifying emergency 30-day readmissions in England using routine hospital data 2004-2010: what is the scope for reduction? Emerg Med J. 2015 Jan;32(1):44-50. doi: 10.1136/emermed-2013-202531. Epub 2014 Mar 25.

  PMID: 24668396 BACKGROUND

• Bianco A, Mole A, Nobile CG, Di Giuseppe G, Pileggi C, Angelillo IF. Hospital readmission prevalence and analysis of those potentially avoidable in southern Italy. PLoS One. 2012;7(11):e48263. doi: 10.1371/journal.pone.0048263. Epub 2012 Nov 2.

  PMID: 23133624 BACKGROUND

• Cooksley T, Merten H, Kellett J, Brabrand M, Kidney R, Nickel CH, Nanayakkara PW, Subbe CP. PRISMA Analysis of 30 Day Readmissions to a Tertiary Cancer Hospital. Acute Med. 2015;14(2):53-6.

  PMID: 26305081 BACKGROUND

Central Study Contacts

Prabath Nanayakkara, MD, PhD, FRCP

CONTACT

031204444444; p.nanayakkara@vumc.nl

Louise van Galen, MD

CONTACT

031613767381

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 6 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD, MD, FRCP

Study Record Dates

• First Submitted: November 25, 2015
• First Posted: December 3, 2015
• Study Start: January 1, 2016
• Primary Completion: January 1, 2017
• Study Completion: January 1, 2018
• Last Updated: December 3, 2015

Record last verified: 2015-12

Locations

DK (1); NL (5); GB (2)