Developing Enhanced Prediction Models to Identify Patients at Risk for Hospital Readmission by Collecting Patient-Generated Health Data
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Acute Myocardial Infraction or Chest Pain
- Sponsor
- University of Pennsylvania
- Enrollment
- 500
- Locations
- 1
- Primary Endpoint
- Hospital readmission within 30 days of discharge
- Status
- Completed
- Last Updated
- 6 years ago
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Be 18 years or older
- •Be able to provide informed consent
- •Be admitted to the Hospital of the University of Pennsylvania or Penn Presbyterian Medical Center
- •Have a smartphone or tablet compatible with activity tracking devices
- •Plan to be discharged to home
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.
Outcomes
Primary Outcomes
Hospital readmission within 30 days of discharge
Time Frame: 30 days
Patient readmission within 30 days of initial discharge
Secondary Outcomes
- The secondary outcome measures include re-hospitalization within 90 days of discharge.(90 days)
- Re-hospitalization within 6 months of discharge(6 months)
- Emergency department visits within 6 months of discharge(6 months)
- Total health care cost utilization in 6 months after discharge(6 months)