Trend toward increased readmissions in the auto-delivery arm.
EPICPath
Early Patient Identification and Care Pathway for Patients With Acute Exacerbations of Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial of Informatics Enhanced Hospital Admission
Sponsor study identifier
interventional
310
1 country
1
Study Start
March 26, 2018
Actual (reported)Primary Completion
January 23, 2019
Actual (reported)Study Completion
January 23, 2019
Actual (reported)This is a fully automated randomized trial with two randomization branch-points. The first is inclusion of disease-specific orders in the admission orders based on a predictive model using real-time data. The second is the use of dynamic orders that are end-user tested rather than static orders designed by a committee. The primary hypothesis is that automatic inclusion of disease specific orders with admission orders will improve adherence to guidelines for patients with COPD. The secondary hypothesis is that clinical and operational outcomes will improve, thereby improving value.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
January 23, 2019
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
January 4, 2017
Actual (reported)January 23, 2017
Actual (reported)March 26, 2018
Actual (reported)January 23, 2019
Actual (reported)January 23, 2019
Actual (reported)Use of evidence-based COPD order set
Proportion of admissions for COPD exacerbation that use the COPD order set
one year
Average length of stay
one year
Number of inpatient encounters
one year
30-day readmission rates
one year
Mortality
one year
Intubations
one year
Usual care. Providers may still search for a COPD order set, and in this arm will see version A, the static list of orders, which is the current state.
Usual care in the sense that COPD orders are not automatically included in admission orders despite likelihood of a COPD admission based on the predictive model. However, providers may still search for a COPD order set, and in this arm will see version B, the dynamic list of orders that has been end user tested prior to launch.
COPD order set is automatically included in admission orders as a static list.
Use of real-time data to identify a population of patients with COPD and prompt improved adherence to evidence-based guidelines through the automatic inclusion of a COPD order set in the admission orders.
University of California, San Francisco
San Francisco, California, 94143, United States
Ari Hoffman, MD
University of California, San Francisco
310 participants (actual enrollment reported by the registry).
First Submitted
January 4, 2017
First Posted
January 23, 2017
Study Start
March 26, 2018
Actual (reported)Does Positive Expiratory Pressure Mask Therapy Improve Recovery From Acute Exacerbations of Chronic Obstructive Pulmonary Disease?
COPD order set is automatically included in admission orders as a dynamic and end user tested version.
Use of a dynamic order set that has been end-user tested prior to launch rather than designed centrally by a committee to test use of order set components.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Contact the study team to confirm eligibility.
Primary Completion
January 23, 2019
Actual (reported)Study Completion
January 23, 2019
Actual (reported)Last Updated
June 18, 2019
Record last verified: 2019-06
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
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