NCT02094040已完成不适用
Effect of Municipality-based Post-discharge Follow-up Visit Including the Primary Physician on Early Re-hospitalization in High Risk People of 65+ Years. A Randomised Controlled Trial.
Holbaek Sygehus2 个研究点 分布在 1 个国家目标入组 531 人开始时间: 2012年2月1日最近更新:
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 531
- 试验地点
- 2
- 主要终点
- Re-admission
研究概览
简要总结
The purpose of this study is to determine whether discharge follow-up visit by primary physician and community-based nurse affects the risk of early re-hospitalisation among high risk older people discharged from a medical ward.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient geography (The participant live in; Holbæk Kommune, Odsherred Kommune or Kalundborg Kommune.)
- •Discharged from medical ward Holbæk Sygehus.
- •Frailty (Rated by following criterion: dementia or a minimum of two of the following conditions; two or more hospitalisations within 12 month prior to follow up, los of physical function, treatment of two or more concurrent medical and/or surgical conditions, psychiatric disease, multi-pharmacy of more than 6 prescription medication, suspicious of congenital disturbances, substance abuse problem, disadvantaged social network, need for increasing home care following index hospitalization.)
排除标准
- •Not discharged to home (If the patient are not discharged to home.)
- •No written consent (If the patient does not wish to participate / written consent are not signed.)
研究组 & 干预措施
Follow-up visit
Experimental
Receive municipality-based follow-up visit including primary physician.
干预措施: Receive municipality-based follow-up visit (Behavioral)
Usual care
No Intervention
Does not receive follow-up visit
结局指标
主要结局
Re-admission
时间窗: Within 30 days from discharge
The primary outcome is re-hospitalisation rate within 30 days from discharge. Data is obtained from the official register of danish patients (Landspatientregistret).
次要结局
- Long-term hospitalization rate(Within 180 days from discharge)
研究者
研究点 (2)
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