Developing Enhanced Prediction Models

Completed

• Conditions: Chronic Obstructive Pulmonary Disease (COPD); Congestive Heart Failure (CHF); Pneumonia; Acute Myocardial Infraction or Chest Pain; Diabetes

• Registration Number: NCT02983812
• Lead Sponsor: University of Pennsylvania

Brief Summary

In this study, patients will be prospectively enrolled for data collection to design prediction models that integrate claims data (inpatient, outpatient, and pharmacy), electronic health record data (on clinical, social, and behavioral indicators), and patient-generated activity data. Patients will be randomized to use either a smartphone or a wearable activity tracking device to capture patient-generated health data.

Detailed Description

Many hospital readmissions could be prevented if higher risk patients were identified and effective interventions then targeted towards these individuals. However, most existing claims-based predictive models perform poorly and do not provide timely and actionable information. In this study, researchers will prospectively enroll patients for data collection to design prediction models that integrate claims data (inpatient, outpatient, and pharmacy), electronic health record data (on clinical, social, and behavioral indicators), and use wearable devices or smartphones to collect patient-generated data (physical activity and sleep patterns). Patients will be randomized to use either a smartphone or a wearable activity tracking device to capture patient-generated health data.

Study Timeline

• Study First Submitted: 2016-11-16
• Study First Submitted QC: 2016-12-01
• Study First Posted: 2016-12-06
• Study Start: 2017-01-23
• Primary Completion: 2019-06-07
• Study Completion: 2019-12-07
• Status Verified: 2020-02
• Last Update Submitted: 2020-02-05
• Last Update Posted: 2020-02-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 500

Inclusion Criteria

1. Be 18 years or older
2. Be able to provide informed consent
3. Be admitted to the Hospital of the University of Pennsylvania or Penn Presbyterian Medical Center
4. Have a smartphone or tablet compatible with activity tracking devices
5. Plan to be discharged to home

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Exclusion Criteria

Have no medical condition which prohibits them from ambulating or plan for any medical procedure over the next 6 months that would prohibit them from ambulating.

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Hospital readmission within 30 days of discharge	30 days	Patient readmission within 30 days of initial discharge

Secondary Outcome Measures

Name	Time	Method
The secondary outcome measures include re-hospitalization within 90 days of discharge.	90 days	Patient readmission within 90 days of initial discharge
Re-hospitalization within 6 months of discharge	6 months	Patient readmission within 6 months of initial discharge
Emergency department visits within 6 months of discharge	6 months	Patient visit to the emergency department within 6 months of initial discharge
Total health care cost utilization in 6 months after discharge	6 months	The cost of health care services for patient within 6 months of initial discharge

Trial Locations

Locations (1)

Penn Medicine; 🇺🇸 Philadelphia, Pennsylvania, United States