A Randomised Control Trial of a Transitional Care Model in Singapore General Hospital

Not Applicable

Completed

• Conditions: Chronic Diseases

• Registration Number: NCT02351648
• Lead Sponsor: Singapore General Hospital

Brief Summary

To find out if a transitional care model can reduce the rate of unscheduled readmission to the Department of Internal Medicine (DIM) in SGH

Detailed Description

Hospital with high readmission rate is view as having lower quality of care High readmission rate is view as wasteful healthcare spending

Primary Aim:

To find out if a transitional care model can reduce the rate of unscheduled readmission to the Department of Internal Medicine (DIM) in SGH A readmission episode is defined as an episode of readmission to any tertiary hospital within 30 days after index discharge from SGH

Secondary Aim:

To find out if a transitional care model can reduce the number of visits to the emergency department in SGH To find out the quality of our transitional care model by using a care transition measure (CTM-15)

Study Timeline

• Study Start: 2012-10
• Primary Completion: 2014-12
• Study Completion: 2014-12
• Status Verified: 2015-01
• Study First Submitted: 2015-01-21
• Study First Submitted QC: 2015-01-29
• Last Update Submitted: 2015-01-29
• Study First Posted: 2015-01-30
• Last Update Posted: 2015-01-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 840

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Readmission rate	30 days after index discharge	A readmission episode is defined as an episode of readmission to any tertiary hospital within 30 days after index discharge from SGH Readmission rate is calculated by dividing the total number of admission by the total number of patients

Secondary Outcome Measures

Name	Time	Method
Readmission rate	up to 180 days after index discharge	Readmission rate is calculated by dividing the total number of admission by the total number of patients. This will measured at 7 days, 90 days and 180 days of discharge
Specialist Outpatient Clinic visits	Up to 180 days after index discharge	Outpatient clinic visit rate is calculated by dividing the total number of outpatient clinic visits by the total number of patients. This will measured at 90 days and 180 days of discharge
Quality of transitional care using a validated care transition measure (CTM-15) tool	90 days after index discharge	Care transition measure survey of subjects
Emergency department attendance rate	Up to 180 days after index discharge	Emergency department attendance rate is calculated by dividing the total number of emergency department visits by the total number of patients. This will measured at 7 days, 30 days, 90 days and 180 days of discharge
Time to first readmission	Up to 90 days after index discharge	Censored time to readmission for both intervention and control group

Trial Locations

Locations (1)

Singapore General Hospital; 🇸🇬 Singapore, Singapore