Prevalence of Factors Contributing to Unplanned Hospital Readmission of Older Medical Patients

NCT05116644 | Completed

• 1 other identifier: Quest2020
• Study Type: observational
• Target: 165
• Locations: 1 country
• Sites: 1

Brief Summary

We need to identify the essential factors that are linked to readmission among older medical patients as approximately 20% of all medical patients above the age of 65 are readmitted within 30 days after discharge. The objective of this cross-sectional survey study is to to identify factors and aspects that contribute to unplanned hospital readmissions of older medical patients. This will be done through a survey where readmitted patients and their relatives and healthcare professionals answer questions about the patients readmission. The survey questions cover following themes: 1) disease, 2) diagnostics, treatment and care, 3) social network, 4) organisation, 5) communication, 6) competences and knowledge, 7) resources and 8) practical aspects. The hypothesis is that the more knowledge we gain on factors that contribute to readmission, the more targeted actions and interventions and thus preventing readmissions.

Conditions

Readmission

Keywords

Readmission; causes of readmission; survey; cross-sectional; older medical patients; multiperspective

Outcome Measures

Primary Outcomes (2)

• Prevalence of factors contributing to 30-day readmission

  Through questionnaire responses, it will be possible to identify factors that contribute to readmission among readmitted older medical patients

  Immediately after each patient has been enrolled in the study

• The agreement between patients and significant others and between hospital physicians and GPs

  Kappa analysis of the agreement on contributing factors on patient level

  Immediately after each patient has been enrolled in the study

Study Arms (1)

Included patients

Included patients: 165

Other: NONE - this is a cross-sectional survey design

Interventions

NONE - this is a cross-sectional survey design OTHER

NONE - this is a cross-sectional survey design

Included patients

Eligibility Criteria

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

Study Population

Readmitted patients who are eligable for inclusion will be prospectively recruited whilst admitted on a medical ward. There has been no selectioin in the process meaning all eligable patients will be asked to participate except those patients who are discharged soon after the readmission e.g. in the evening or in the weekend.

You may qualify if:

• Aged 65 or above
• Danish citizens
• Discharged from a general medical ward at Horsens Regional Hospital (HRH) AND readmitted to a general medical ward at HRH within 30 days after discharge
• Living in the municipality of Horsens, Hedensted, Odder or Skanderborg

You may not qualify if:

• Not able to speak and understand Danish

Sponsors & Collaborators

• University of Aarhus: lead
• Enversion: collaborator
• Central Denmark Region: collaborator

Study Sites (1)

PhD student Lisa Rasmussen

Horsens, Denmark

Location

Related Publications (1)

• Rasmussen LF, Grode L, Barat I, Gregersen M. Prevalence of factors contributing to unplanned hospital readmission of older medical patients when assessed by patients, their significant others and healthcare professionals: a cross-sectional survey. Eur Geriatr Med. 2023 Aug;14(4):823-835. doi: 10.1007/s41999-023-00799-6. Epub 2023 May 24.

  PMID: 37222865 DERIVED

Study Officials

• Merete Gregersen, PhD

  Aarhus University, Aarhus Uviversity Hospital

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 27, 2021
• First Posted: November 11, 2021
• Study Start: September 14, 2020
• Primary Completion: June 25, 2021
• Study Completion: June 25, 2021
• Last Updated: September 25, 2023

Record last verified: 2021-10

Locations

DK (1)