Fast-track Discharge Combined With Treatment and Rehabilitation at Home With Telemedicine
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 40
- 主要终点
- Walking distance
研究概览
简要总结
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
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 75 Years 至 —(Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •municipal home care at admittance
- •admitted to medical emergency care unit at Kolding Hospital
排除标准
- •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
研究组 & 干预措施
Telemedicine
Discharge with telemedicine contact to emergency nurse, doctor, and municipality
干预措施: Telemedicine (Device)
Control
Standard care with 24-48 h observation at emergency unit
结局指标
主要结局
Walking distance
时间窗: 3 months
Measurement of walking distance regularly by home care nurse (in meters)
次要结局
- Fall in home(3 months)
- Days of admittance(3 months)
研究者
Ole Winther Rasmussen
Senior Consultant
Kolding Sygehus
