Back to resultsCan a Rapid 2 Day Followup After Discharge From the ED Reduce Readmissions and Death for Patients 75 Years and Older?
Primary Purpose
Emergencies
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
2-3 day return appointment
Sponsored by
About this trial
This is an interventional prevention trial for Emergencies focused on measuring Emergency department, Geriatrics, mortality, readmission rates., Patients 75 years of age and older.
Eligibility Criteria
Inclusion Criteria:
- All patients 75 years of age and older discharged from the ED
Exclusion Criteria:
- Younger than 75.
Sites / Locations
- UNC Hospitals
Arms of the Study
Arm 1
Arm 2
Arm Type
No Intervention
Experimental
Arm Label
Control
2-3 day return appointment
Arm Description
Standard post ED care
Patients will receive further treatment in Geriatric Clinic 2-3 days post ED discharge.
Outcomes
Primary Outcome Measures
Mortality and readmissions to emergency department
Secondary Outcome Measures
Mortality
Secondary outcome to measure all cause mortality for patients admitted to the study.
Full Information
NCT ID
NCT01769495
First Posted
January 14, 2013
Last Updated
April 13, 2017
Sponsor
University of North Carolina, Chapel Hill
Collaborators
The Duke Endowment, The William R. Kenan, Jr. Charitable Trust
1. Study Identification
Unique Protocol Identification Number
NCT01769495
Brief Title
Can a Rapid 2 Day Followup After Discharge From the ED Reduce Readmissions and Death for Patients 75 Years and Older?
Official Title
A Randomized Trial of the Effect of a Geriatrics Appointment Within 2-3 Days of Discharge From the Emergency Department(ED) in Reducing ED and Hospital Readmissions for Patients 75 Years of Age and Older.
Study Type
Interventional
2. Study Status
Record Verification Date
April 2015
Overall Recruitment Status
Completed
Study Start Date
August 2013 (undefined)
Primary Completion Date
September 2014 (Actual)
Study Completion Date
September 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of North Carolina, Chapel Hill
Collaborators
The Duke Endowment, The William R. Kenan, Jr. Charitable Trust
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Our hypothesis is that a rapid follow up for elderly patients in a Geriatric Clinic discharged from the Emergency Department (ED) will have fewer unplanned return ED visits and fewer unplanned hospital admissions with no attendant increase in mortality.
Patients 75 years of age and older will be randomized following discharge from the ED into two groups. The first will receive standard post ED care. The second will receive an appointment to our Geriatric Clinic within 2-3 days for stabilization, further treatment and contact with the patient's primary physician to communicate the course of the patient's illness and to schedule subsequent follow-up with the patients regular medical provider.
There will be two primary outcomes: The first will be a composite of morality and/or return to the ED at 30 days, and the secondary primary outcome will be mortality. Economic data regarding resource utilization by patients will also be analyzed.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Emergencies
Keywords
Emergency department, Geriatrics, mortality, readmission rates., Patients 75 years of age and older.
7. Study Design
Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
26 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Control
Arm Type
No Intervention
Arm Description
Standard post ED care
Arm Title
2-3 day return appointment
Arm Type
Experimental
Arm Description
Patients will receive further treatment in Geriatric Clinic 2-3 days post ED discharge.
Intervention Type
Other
Intervention Name(s)
2-3 day return appointment
Intervention Description
2-3 appointment in geriatric clinic following ED discharge
Primary Outcome Measure Information:
Title
Mortality and readmissions to emergency department
Time Frame
30 and 180 days
Secondary Outcome Measure Information:
Title
Mortality
Description
Secondary outcome to measure all cause mortality for patients admitted to the study.
Time Frame
30 and 180 days
Other Pre-specified Outcome Measures:
Title
Medical Resource utilization
Time Frame
30 days and 180 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
All patients 75 years of age and older discharged from the ED
Exclusion Criteria:
Younger than 75.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John S Kizer, MD
Organizational Affiliation
UNC Chapel Hill, NC
Official's Role
Principal Investigator
Facility Information:
Facility Name
UNC Hospitals
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27599
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Can a Rapid 2 Day Followup After Discharge From the ED Reduce Readmissions and Death for Patients 75 Years and Older?
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