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Clinical Trials/ACTRN12615000808549
ACTRN12615000808549
Terminated
未知

In patients frequently admitted to hospital does a multi-dimensional transitional care package, compared with usual care, reduce hospital readmission

Baker IDI Heart and Diabetes Institute0 sites210 target enrollmentAugust 4, 2015
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Conditionschronic non-communicable diseasesFrequent hospital readmissionAboriginal Australian healthCardiovascular - Coronary heart diseaseRespiratory - Chronic obstructive pulmonary diseasePublic Health - Health service research

Overview

Phase
未知
Intervention
Not specified
Conditions
chronic non-communicable diseases
Sponsor
Baker IDI Heart and Diabetes Institute
Enrollment
210
Status
Terminated
Last Updated
6 years ago
OverviewInvestigatorsEligibility CriteriaOutcomesSimilar Trials

Overview

Brief Summary

No summary available.

Registry
who.int
Start Date
August 4, 2015
End Date
TBD
Last Updated
6 years ago
Study Type
Interventional
Sex
All

Investigators

Sponsor
Baker IDI Heart and Diabetes Institute

Eligibility Criteria

Inclusion Criteria

  • •4 or more adult medical/surgical admissions over the preceding 12 months OR more than 7 admissions over the past 24 months
  • •\-A surgical admission is deemed appropriate if related to a patient's chronic disease eg. diabetic foot infections, chronic pancreatitis, cellulitis
  • •2\. Resident of Central Australia (including the cross border regions of Western Australia and
  • •South Australia and extending north to Elliot in the Northern Territory).

Exclusion Criteria

  • •1\. Median life expectancy of 12 months or less based on independent specialist (including
  • •subspecialist physician) assessment
  • •2\. Stage 5 chronic kidney disease (eGFR \< 15ml/min or receiving renal replacement therapy)
  • •3\. Solid organ transplant (including renal transplant)
  • •4\. Ongoing palliative care service review
  • •5\. Previous enrollment in the study (such subjects will have on\-going care as per original
  • •study allocation)

Outcomes

Primary Outcomes

Not specified

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