The Impact of 24/7-phone Support on Readmission After Aortic Valve Replacement, a Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 288
- 试验地点
- 1
- 主要终点
- Reduced readmissions
研究概览
简要总结
Aortic Valve Replacement (AVR) surgery for aortic valve disease continues to increase in numbers. With better surgical techniques and equipment, also older patients can be operated on, resulting in an growth of the older population. AVR is characterized by high rates of hospital readmissions, resulting in suboptimal care planning and higher health care costs. Hence, it is important to develop strategies to reduce hospital readmissions following AVR. The purpose if this study is to develop and test the efficacy of a 24/7-phone support in the reduction of readmissions after AVR treatment. Secondary outcomes are a reduced level of anxiety, less depressive symptoms and a better health related quality of life.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Treatment with AVR (biological or mechanical) single, AVR (b or m)+aortocoronary bypass, AVR (b or m)+supra coronary tube graft
- •Can understand, speak and write native Language (norwegian), and be able to fill in the questionnaires
- •Can be contacted by phone after discharge from hospital
排除标准
- •Patients who have been admitted to intensive care for more than 24 hours
- •Patients who have complications related to surgery e.g. cerebral insult with significant impact on cognitive functions after surgery
研究组 & 干预措施
Usual Care
Today, no post-discharge telephone support is offered as standard care from the hospital.
Intervention group
Experimental group is offered 24/7-telephone support during the first 1 month post-discharge, and patients are actively called at day 2 and day 9 day after discharge.
干预措施: 24/7-telephone support (Other)
结局指标
主要结局
Reduced readmissions
时间窗: 1 year follow-up
Will use data from the national patient registry: Norway Patient Registry (NPR) and data from patient journals to measure the readmission rates. Main measure will be readmission rate 30 days after discharge for Aortic Valve Replacement (AVR).
次要结局
- Increased health related quality of life(1 year follow-up)
- Reduced anxiety(1 year follow-up)
- Reduced costs(1 year follow-up)
- Reduced depression(1 year follow-up)
研究者
Stein Ove Danielsen
Research Fellow
Oslo University Hospital