Supplement to Hospital to Home Outcomes (H2O): A Study to Improve the Fluidity of Transitions Between Hospital and Home
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 966
- 试验地点
- 2
- 主要终点
- Number of Participants With Any Occurrence of Unplanned Re-hospitalization and/or Any Emergency/Urgent Care Visits Within 30 Days of Hospital Discharge
研究概览
简要总结
Post-discharge nurse phone call
详细描述
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).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- — 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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
研究组 & 干预措施
Nurse Phone Call
Families in this arm will receive a phone call within 96 hours of discharge
干预措施: Nurse Phone Call (Other)
Standard of Care
This arm will receive standard of care.
干预措施: Standard of Care (Other)
结局指标
主要结局
Number of Participants With Any Occurrence of Unplanned Re-hospitalization and/or Any Emergency/Urgent Care Visits Within 30 Days of Hospital Discharge
时间窗: 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)
次要结局
- Number of Days Until Normalcy(14 days post-discharge)
- 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)