The Effects of Post-hospitalization Telehealth Care in the Patients Who Admitted Via Emergency Department

Not Applicable

• Conditions: General Medical Disease
• Interventions: Other: Post-hospitalization care

• Registration Number: NCT01247519
• Lead Sponsor: National Taiwan University Hospital

Brief Summary

The investigators will perform and evaluate a post-hospitalization telecare system for compensating the discontinuity from the hospitalist care system.

Detailed Description

At present, Taiwan's population has become an aging society since recent decade. Those older than 65 years had achieved 10.4% in 2008. Meanwhile, the proportion of hosts with underlying comorbid illness or immunocomprised status is increasing worldwide. In the trend of aging population, telehealth care will be important to extend the care system in post-hospitalization home care. In the past, thelehealth care has shown a good executive performance in the patients with congestive heart failure and post-operation follow-up. However, in dealing the patients with acute illness needing hospitalization, the telehealth system has not implemented yet. In regard to National health insurance (NHI) of Taiwan, hospitalization costs a lot in overall budget. Reduction of re-hospitalization in those with/without co-morbidity is a important issue for Taiwan NHI. Therefore, we plan to conduct the telehealth care system in post-hospitalization course in those admitted from emergency department. We observe the re-hospitalization rate and analyze the risk factors. In addition, we hypothesize the telehealth care will decrease the rate of re-hospitalization.

Study Timeline

• Study Start: 2009-12
• Primary Completion: 2010-07
• Status Verified: 2010-10
• Study First Submitted: 2010-10-05
• Study First Submitted QC: 2010-11-23
• Last Update Submitted: 2010-11-23
• Study First Posted: 2010-11-24
• Last Update Posted: 2010-11-24
• Study Completion: 2011-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 500

Inclusion Criteria

• Older than 18 years
• Discharged alive from our hospitalist-care ward to home care
• Match diagnosis of general medicine

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Exclusion Criteria

• Younger than 18 years
• Discharged to care facility other than home
• Died in hospital
• Communication deficits
• No telephone at home
• Patient or family refused

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Intervention	Post-hospitalization care	-

Primary Outcome Measures

Name	Time	Method
readmission	within 30 days after discharge

Secondary Outcome Measures

Name	Time	Method
vist of emergency department	within 30 days after discharge

Trial Locations

Locations (1)

National Taiwan University Hospital; 🇨🇳 Taipei, Taiwan