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
- 1,500
- 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
Home Nurse Visit post discharge.
详细描述
To identify barriers to successful transitions that are most meaningful to patients and families, and use these identified barriers to iteratively adapt an existing nurse home visit program to address these barriers. This study will also test the efficacy of a nurse home visit intervention in improving post-discharge outcomes through a randomized controlled trial.
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, adolescent medicine, neurology or neurosurgery.
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
Home Nurse Visit
Families in this arm will receive a nurse home visit within 96 hours of discharge.
干预措施: Nurse Home Visit (Other)
Control
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 and/or any emergency department/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 complex versus noncomplex teams) included in the model.
次要结局
- Post Discharge Coping Difficulty Scale(14 days post-discharge)
- 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)