Smart Discharges to Improve Post-discharge Health Outcomes in Children: A Prospective Before-after Study With Staggered Implementation
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 11,700
- 试验地点
- 2
- 主要终点
- Post-discharge mortality
研究概览
简要总结
In Uganda, about 5% of children discharged after hospitalization for a serious infection will die in the weeks after returning home. Doctors and parents are often unaware of this period of vulnerability and are poorly equipped to identify or handle this critical situation. This project builds on past work to develop and evaluate models and technology to predict, before discharge, an individual child's risk of recurrent illness, as well as to provide additional post-discharge support to at-risk children. This study seeks to evaluate the effect of a novel "Smart Discharges" approach on childhood mortality and health seeking behaviour.
详细描述
PURPOSE:
Our purpose is to conduct an interventional cohort study to evaluate the impact of the Smart Discharges approach to discharge care on pediatric post-discharge mortality.
HYPOTHESIS:
Our Smart Discharges approach will improve post-discharge health seeking and reduce post-discharge mortality.
JUSTIFICATION:
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 0 Days 至 59 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children under five years of age
- •Admission with a proven or suspected infection
- •Provide written informed consent
排除标准
- •Refusal to participate
- •Previous enrolment in the study
- •Outside of hospital catchment
- •Language barrier
- •Direct admission following birth without having been discharged
结局指标
主要结局
Post-discharge mortality
时间窗: From discharge until 6 months post-discharge
Rate of all-cause mortality within 6-months post-discharge
次要结局
- Post-discharge health seeking(From discharge until 6 months post-discharge)
- Post-discharge re-admission(From discharge until 6 months post-discharge)
研究者
Matthew Wiens
Assistant Professor
University of British Columbia