Supplement to Hospital to Home Outcomes (H2O): A Study to Improve the Fluidity of Transitions Between Hospital and Home
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 966
- Locations
- 1
- Primary Endpoint
- Number of Participants With Any Occurrence of Unplanned Re-hospitalization and/or Any Emergency/Urgent Care Visits Within 30 Days of Hospital Discharge
Study Overview
Brief Summary
Post-discharge nurse phone call
Detailed Description
Previous work has identified barriers to successful transitions that are most meaningful to patients and families. Investigators used these learnings to iteratively adapt an existing nurse home visit program to address these barriers, and have been studying the effectiveness of the redesigned nurse home visit in a randomized control trial (NCT02081846).
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Single (Investigator)
Eligibility Criteria
- Ages
- — to 18 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patient is under 18 years of age
- •Patient is admitted to Cincinnati Children's Hospital Medical Center to hospital medicine, ,community pediatrics, or adolescent medicine.
Exclusion Criteria
- •Patient to be discharged someplace other than home (e.g., residential facility, psychiatric facility)
- •Patient's home residence is outside the home nursing service area
- •Patient is eligible for "traditional" home nursing services
- •Caregiver is non-English speaking
Arms & Interventions
Nurse Phone Call
Families in this arm will receive a phone call within 96 hours of discharge
Intervention: Nurse Phone Call (Other)
Standard of Care
This arm will receive standard of care.
Intervention: Standard of Care (Other)
Outcomes
Primary Outcomes
Number of Participants With Any Occurrence of Unplanned Re-hospitalization and/or Any Emergency/Urgent Care Visits Within 30 Days of Hospital Discharge
Time Frame: 30 days post-discharge
The dependent variable will be a dichotomized indicator of any occurrence of unplanned rehospitalization, ED or urgent care visit within 30-days post-discharge (i.e. unplanned reutilization). Differences in this outcome between intervention and control groups will be evaluated using logistic regression with the stratification variables (neighborhood poverty and state)
Secondary Outcomes
- Red Flags Remembered(14 days post-discharge)
- Number of Participants With Occurrence(s) of an Unplanned Readmission Within 30 Days Post-discharge(30 days)
- Number of Participants With Occurrence(s) of an Emergency Department Visit Within 30 Days Post-discharge(30 days)
- Number of Participants With Occurrence(s) of 14-day Unplanned Healthcare Utilization(14 days post-discharge)
- Post-Discharge Coping Scale(14 days post-discharge)
- Number of Days Until Normalcy(14 days post-discharge)