Fast-track Discharge With Telemedicine

Not Applicable

• Conditions: Emergencies
• Interventions: Device: Telemedicine

• Registration Number: NCT03730285
• Lead Sponsor: Kolding Sygehus

Brief Summary

Evaluation of discharge after arrival at emergency unit, Kolding Hospital combined with treatment and rehabilitation in the home either by telemedicine or the usual treatment

Detailed Description

Participants are acute in-patients at the Medical Department, Kolding Hospital. Participants shall be informed about the project, and all screened initially within 30 minutes. After 3-4 hours adjusted treatment and possible need for new investigations are conducted. Patients are randomized at discharge to home treatment with rounds via telemedicine with support of emergency team of nurses or hospitalization in emergency unit. Observations, treatment and rehabilitation follow the same standards and guidelines for all patients. The cohort of patients is recruited between Oct 1, 2015 until January 1, 2016. The study is a randomized quality evaluation study of patient satisfaction, of the emergency team at Kolding Municipality, re-admittance rate, use of other health services, and new services from the municipality.

Study Timeline

• Study First Submitted: 2016-02-28
• Status Verified: 2018-11
• Study First Submitted QC: 2018-11-01
• Last Update Submitted: 2018-11-01
• Study First Posted: 2018-11-05
• Last Update Posted: 2018-11-05
• Study Start: 2019-11
• Primary Completion: 2021-01
• Study Completion: 2021-04

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• municipal home care at admittance
• admitted to medical emergency care unit at Kolding Hospital

Exclusion Criteria

• ketoacidosis,
• hyperosmolar diabetic coma,
• serious hypercalcemia,
• acute renal insufficiency with serum-creatinin > 175 mmol/l,
• serious cardiac failure
• septicemia
• acute coronary disease
• apoplexia cerebri
• neuroinfection
• progressive or active cancer
• hepatic disease
• serious psychiatric disease

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Telemedicine	Telemedicine	Discharge with telemedicine contact to emergency nurse, doctor, and municipality

Primary Outcome Measures

Name	Time	Method
Walking distance	3 months	Measurement of walking distance regularly by home care nurse (in meters)

Secondary Outcome Measures

Name	Time	Method
Fall in home	3 months	No. of falls in home recorded by home care nurse
Days of admittance	3 months	Days in hospital according t hospital charts