Prevalence of Factors Contributing to Unplanned Hospital Readmission of Older Medical Patients When Assessed by Patients, Their Significant Others and Healthcare Professionals: a Cross-sectional Survey
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 165
- 试验地点
- 1
- 主要终点
- The agreement between patients and significant others and between hospital physicians and GPs
研究概览
简要总结
We need to identify the essential factors that are linked to readmission among older medical patients as approximately 20% of all medical patients above the age of 65 are readmitted within 30 days after discharge.
The objective of this cross-sectional survey study is to to identify factors and aspects that contribute to unplanned hospital readmissions of older medical patients.
This will be done through a survey where readmitted patients and their relatives and healthcare professionals answer questions about the patients readmission. The survey questions cover following themes: 1) disease, 2) diagnostics, treatment and care, 3) social network, 4) organisation, 5) communication, 6) competences and knowledge, 7) resources and 8) practical aspects. The hypothesis is that the more knowledge we gain on factors that contribute to readmission, the more targeted actions and interventions and thus preventing readmissions.
详细描述
The objective of this cross-sectional survey study to identify unique factors and aspects involved in the process of unplanned hospital readmissions of medical patients aged 65 or above within 30 days of discharge.
To identify these factors following research questions will be examined:
- what are the most prevalent factors that contribute to 30-days readmissions among medical patients above 65 years?
- to what degree do patients, relative and health care professionals agree upon the contributing factors?
- where on the patient pathway between sectors are the contributing factors most prevalent?
Unplanned Readmission is defined as follows:
- The admission occurs between four hours and 30 days after the last admission
- The onset of the admission is acute
- The admission cannot be a result of a referral from another hospital or ward
- The patient cannot have a cancer- or accident diagnosis
- Admission not part of existing treatment regimen, such as intravenous antibiotic treatment, or readmission planned at latest discharge.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 65 or above
- •Danish citizens
- •Discharged from a general medical ward at Horsens Regional Hospital (HRH) AND readmitted to a general medical ward at HRH within 30 days after discharge
- •Living in the municipality of Horsens, Hedensted, Odder or Skanderborg
排除标准
- •Not able to speak and understand Danish
结局指标
主要结局
The agreement between patients and significant others and between hospital physicians and GPs
时间窗: Immediately after each patient has been enrolled in the study
Kappa analysis of the agreement on contributing factors on patient level
Prevalence of factors contributing to 30-day readmission
时间窗: Immediately after each patient has been enrolled in the study
Through questionnaire responses, it will be possible to identify factors that contribute to readmission among readmitted older medical patients
次要结局
未报告次要终点