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Clinical Trials/NCT01842776
NCT01842776UnknownNot Applicable

Care Transitions in Renal Disease Patients

Fresenius Medical Care North America1 site in 1 country3,300 target enrollmentStarted: March 2013Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Enrollment
3,300
Locations
1
Primary Endpoint
30-day readmission rate

Study Overview

Brief Summary

The goal of this pilot is to reduce the 30-day hospital readmission rate for dialysis patients. It is a quality improvement project that consistent of 4 "tracks." Tracks 1 & 2: Implement use of checklists of activities for staff to complete when patients are admitted to the hospital, and post-hospitalization with emphasis on fluid assessment, nutrition management, patient coaching, and communication between institutions. Track 3: Work with physicians to develop process to individualize post-hospitalization dialysis orders and improve medication reconciliation. Track 4: Use a renal Care Transitions Case Manager to follow patients in the hospital and 30 days post-hospitalization to facilitate care and patient coaching.

Study Design

Study Type
Observational
Observational Model
Cohort
Time Perspective
Prospective

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Chronic hemodialysis patients
  • All patients admitted to the hospital during the study period

Exclusion Criteria

  • Patients <18 years old

Outcomes

Primary Outcomes

30-day readmission rate

Time Frame: Participants will be followed for the duration of each hospital stay and 30 days post-hospitalization, for an expected average of 37 days.

Number of hospitalizations that occur within 30 days after discharge from an initial index hospitalization (convert to percentage of 30-day readmissions).

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (1)

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