Back to resultsA Case Management Study Targeted to Reduce Health Care Utilization for Frequent Emergency Department Visitors
Primary Purpose
The Focus is to Investigate Effect of a Case Management Interventions in Frequent Visitors to Emergency Departments
Status
Unknown status
Phase
Not Applicable
Locations
Sweden
Study Type
Interventional
Intervention
Case-management intervention
Sponsored by
About this trial
This is an interventional supportive care trial for The Focus is to Investigate Effect of a Case Management Interventions in Frequent Visitors to Emergency Departments focused on measuring case management, disease management, emergency, department
Eligibility Criteria
Inclusion Criteria:
- Recent history of frequent visits to emergency department
- Anticipated sustained high visit frequency
- Living in one of five Swedish counties where trial is ongoing
Exclusion Criteria:
- Moribund patients
- Psychosis
- Severe hearing impairment or language difficulties
- Other factors that may make it impossible or impractical for a patient to participate in the study
Sites / Locations
- Stockholms Läns Landsting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Case-management intervention
Control arm
Arm Description
Receiving nurse-managed intervention
Control group not receiving any intervention
Outcomes
Primary Outcome Measures
Number of outpatient visits to medical doctor
Number of hospitalizations
Secondary Outcome Measures
Mortality
Length of hospital stay
Total health care costs
Full Information
NCT ID
NCT01985074
First Posted
November 4, 2013
Last Updated
September 13, 2015
Sponsor
Health Navigator
Collaborators
Region Stockholm, Ostergotland County Council, Sweden, Vastra Gotaland Region, Uppsala County Council, Sweden, Sormland County Council, Sweden
1. Study Identification
Unique Protocol Identification Number
NCT01985074
Brief Title
A Case Management Study Targeted to Reduce Health Care Utilization for Frequent Emergency Department Visitors
Official Title
A Case Management Study Targeted to Reduce Health Care Utilization for Frequent Emergency Department Visitors
Study Type
Interventional
2. Study Status
Record Verification Date
September 2015
Overall Recruitment Status
Unknown status
Study Start Date
July 2010 (undefined)
Primary Completion Date
April 2015 (Actual)
Study Completion Date
December 2016 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Health Navigator
Collaborators
Region Stockholm, Ostergotland County Council, Sweden, Vastra Gotaland Region, Uppsala County Council, Sweden, Sormland County Council, Sweden
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The aim of the study is to determine whether a nurse-managed telephone-based case-management intervention can reduce healthcare utilization and improve self-assessed health status in frequent emergency department users.
Detailed Description
The study tests a nurse-run case-management intervention targeted towards frequent emergency department visitors. The aim is to reduce visits to emergency departments as well as to improve quality of life by facilitating coping mechanisms as well as redirecting these patients to more suitable health care facilities.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
The Focus is to Investigate Effect of a Case Management Interventions in Frequent Visitors to Emergency Departments
Keywords
case management, disease management, emergency, department
7. Study Design
Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
15000 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Case-management intervention
Arm Type
Experimental
Arm Description
Receiving nurse-managed intervention
Arm Title
Control arm
Arm Type
No Intervention
Arm Description
Control group not receiving any intervention
Intervention Type
Behavioral
Intervention Name(s)
Case-management intervention
Intervention Description
The participants in the intervention group receives a nurse-managed case-management intervention that is regularly delivered by telephone or, when necessary, in person.
Primary Outcome Measure Information:
Title
Number of outpatient visits to medical doctor
Time Frame
During first two years of follow-up
Title
Number of hospitalizations
Time Frame
During first two years of follow-up
Secondary Outcome Measure Information:
Title
Mortality
Time Frame
During first two years of follow-up
Title
Length of hospital stay
Time Frame
During first two years of follow-up
Title
Total health care costs
Time Frame
During first two years of follow-up
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Recent history of frequent visits to emergency department
Anticipated sustained high visit frequency
Living in one of five Swedish counties where trial is ongoing
Exclusion Criteria:
Moribund patients
Psychosis
Severe hearing impairment or language difficulties
Other factors that may make it impossible or impractical for a patient to participate in the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gsutaf Edgren, MD PhD
Organizational Affiliation
Health Navigator
Official's Role
Principal Investigator
Facility Information:
Facility Name
Stockholms Läns Landsting
City
Stockholm
Country
Sweden
12. IPD Sharing Statement
Citations:
PubMed Identifier
22960802
Citation
Reinius P, Johansson M, Fjellner A, Werr J, Ohlen G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013 Oct;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a.
Results Reference
result
Learn more about this trial
A Case Management Study Targeted to Reduce Health Care Utilization for Frequent Emergency Department Visitors
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