Fast-track Discharge Combined With Treatment and Rehabilitation at Home With Telemedicine
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Emergencies
- Sponsor
- Kolding Sygehus
- Enrollment
- 40
- Primary Endpoint
- Walking distance
- Last Updated
- 7 years ago
Overview
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.
Investigators
Ole Winther Rasmussen
Senior Consultant
Kolding Sygehus
Eligibility Criteria
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
Outcomes
Primary Outcomes
Walking distance
Time Frame: 3 months
Measurement of walking distance regularly by home care nurse (in meters)
Secondary Outcomes
- Fall in home(3 months)
- Days of admittance(3 months)