Discharge PlanningTele-hjemNCT02303249
Interventional Study of Videoconferences Between Hospital and Municipality - a Randomized Controlled Trial
A study testing Review of discharges and cross-sectoral video conferencing immediately after discharge in people with Discharge Planning and Readmission, Hospital, run by Zealand University Hospital at 1 site in Denmark.
Trial summary
The study aims to assess whether the review of discharge planning followed by a cross-sectoral video conference in connection with discharge of medical and geriatric patients at Roskilde and Køge hospitals as well as patients from the Emergency Department at Køge Hospital reduces the proportion of patients who are… Read more about this study
- Who is it for?
- Ages 55 years and older
- Conditions the study is for
- Discharge Planning, Readmission, Hospital
- What is being tested?
- Review of discharges and cross-sectoral video conferencing immediately after discharge
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,387 participants
- Where
- 1 siteDenmark
- Study dates
- Jul 2013to Jan 2015
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 55 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Discharge from the Medical Department and Geriatric Department at Roskilde and Køge hospitals or the Emergency Department at Køge Hospital.
- Address in Køge, Greve, Faxe, Solrød, Lejre, Stevns or Roskilde municipalities. Discharges between 8 am and 4 pm Monday-Friday. Acute/subacute admission to the hospital
Who cannot join
- Patients who cannot give consent to participation. Discharge to a nursing home or relief care home. Patients with planned readmission. Former participant in the study. Patients who are included in the Sub Acute Project. Patients who needs terminal care
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Interventional Study of Videoconferences Between Hospital and Municipality After Discharge From Roskilde and Køge Hospitals - a Randomized Controlled Trial
The study aims to assess whether the review of discharge planning followed by a cross-sectoral video conference in connection with discharge of medical and geriatric patients at Roskilde and Køge hospitals as well as patients from the Emergency Department at Køge Hospital reduces the proportion of patients who are readmitted within 180 days.
Project nurses at the two hospitals identifies all patients fulfilling the inclusion criteria (above 55 years of age, discharged to their own home), get informed consent and performs the video conferences. Within a few hours after discharge a video conference is held in the patient´s home including the patient,the municipal nurse and the project nurse at the hospital. During the video conference the discharge is reviewed using a structured assessment.
The survey is conducted as an open, randomized intervention study.
Read the detailed description
The study consists of two parts: First, the project nurse reviews the patients discharge together with the nurse from the hospital ward. Next, the patient is discharged from the hospital and meets the nurse from the municipality at home. Together with the patient the nurse form the municipality reviews:
- Documents from the hospital
- Medicine
- Nutrition
- Mobility
- Assessment of the need for health care services from the municipality
All patients in the project - both patients in the intervention group and patients in the control group - will receive treatment and care equivalent to normally applicable quality standards.
In 2011 4387 patients were discharged Monday to Friday from the Medical and Geriatric Departments at Roskilde and Køge Hospital to one of the seven municipalities. Of these, 1204 persons (27%) were readmitted (in any department) within 180 days. It is expected that the study demonstrates a reduction of ≥ 6 percentage points (from 27% to 21%) with a power of 80% and a significance level of 5%. There will be a need for 792 patients in both control and intervention group, ie 1584 in total.
- Conditions
- Discharge Planning, Readmission, Hospital
- Being tested
- Review of discharges and cross-sectoral video conferencing immediately after discharge
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Review of discharges and cross-sectoral video conferencing immediately after dischargeOther
The intervention is video conference which is randomized and is an intervention that is assigned by the investigator.
| Study group | Role | What they receive |
|---|---|---|
| Intervention | Experimental | Review of discharges and cross-sectoral video conferencing immediately after discharge Receives: Other: Review of discharges and cross-sectoral video conferencing immediately after discharge |
| Control | No intervention | Standard health care services |
What is being measured
The primary outcome is the main question the study is designed to answer.
The proportion of patients who are readmitted
Acute readmissions to any hospital in Denmark
Measured: 180 days
Secondary outcomes (6)
Use of municipal services (nursing, practical help, personal care)
Measured: 4 months
Time to readmission
Measured: 180 days
Total number of readmissions
Measured: 180 days
Total number of days of readmission
Measured: 180 days
The number of contacts with general practitioner
Measured: 180 days
Death
Measured: 180 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Nov 2014 (estimated)
- Study startJul 2013
- Primary completionDec 2014
- Study completionJan 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Discharge PlanningStudies of the same condition, open and under way.
- More trials run by Zealand University HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,387 participants (actual)
Sponsor and investigators
- Lead sponsor
- Zealand University Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Region Zealand, Roskilde Municipality, Køge Municipality, Stevns Municipality, Solrød Municipality, Lejre Municipality, Faxe Municipality, Greve Municipality
- Responsible party
- Sponsor
- Investigators
- Solvejg Henneberg Pedersen, dr., Study director, Region ZealandBirgitte Dreyer Sørensen, cand. scient. san. publ., Principal investigator, Region Zealand
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02303249
- Sponsor's protocol ID
- SJ-337
- Acronym
- Tele-hjem
- Status last verified
- Jan 2015
- First submitted
- 7 Nov 2014
- Last updated
- 12 Jan 2015
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 Jan 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Interventional Study of Videoconferences Between Hospital and Municipality After Discharge From Roskilde and Køge Hospitals - a Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT02303249
- Acronym / sponsor ID
- Tele-hjem / SJ-337
- Conditions
- Discharge Planning, Readmission, Hospital
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,387 participants (actual)
- Lead sponsor
- Zealand University HospitalUniversity, hospital or other
- Collaborators
- Region Zealand, Roskilde Municipality, Køge Municipality, Stevns Municipality, Solrød Municipality, Lejre Municipality, Faxe Municipality, Greve Municipality
- Study start
- Jul 2013
- Primary completion
- Dec 2014 (actual)
- Study completion
- Jan 2015 (actual)
- First posted
- 27 Nov 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study aims to assess whether the review of discharge planning followed by a cross-sectoral video conference in connection with discharge of medical and geriatric patients at Roskilde and Køge hospitals as well as patients from the Emergency Department at Køge Hospital reduces the proportion of patients who are readmitted within 180 days.
Project nurses at the two hospitals identifies all patients fulfilling the inclusion criteria (above 55 years of age, discharged to their own home), get informed consent and performs the video conferences. Within a few hours after discharge a video conference is held in the patient´s home including the patient,the municipal nurse and the project nurse at the hospital. During the video conference the discharge is reviewed using a structured assessment.
The survey is conducted as an open, randomized intervention study.
Detailed description
The study consists of two parts: First, the project nurse reviews the patients discharge together with the nurse from the hospital ward. Next, the patient is discharged from the hospital and meets the nurse from the municipality at home. Together with the patient the nurse form the municipality reviews:
- Documents from the hospital
- Medicine
- Nutrition
- Mobility
- Assessment of the need for health care services from the municipality
All patients in the project - both patients in the intervention group and patients in the control group - will receive treatment and care equivalent to normally applicable quality standards.
In 2011 4387 patients were discharged Monday to Friday from the Medical and Geriatric Departments at Roskilde and Køge Hospital to one of the seven municipalities. Of these, 1204 persons (27%) were readmitted (in any department) within 180 days. It is expected that the study demonstrates a reduction of ≥ 6 percentage points (from 27% to 21%) with a power of 80% and a significance level of 5%. There will be a need for 792 patients in both control and intervention group, ie 1584 in total.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention | Experimental | Other: Review of discharges and cross-sectoral video conferencing immediately after dischargeReview of discharges and cross-sectoral video conferencing immediately after discharge |
| Control | No intervention | –Standard health care services |
Who may qualify
- Ages
- 55 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Discharge from the Medical Department and Geriatric Department at Roskilde and Køge hospitals or the Emergency Department at Køge Hospital.
- Address in Køge, Greve, Faxe, Solrød, Lejre, Stevns or Roskilde municipalities. Discharges between 8 am and 4 pm Monday-Friday. Acute/subacute admission to the hospital
Key exclusion criteria (1 listed)
- Patients who cannot give consent to participation. Discharge to a nursing home or relief care home. Patients with planned readmission. Former participant in the study. Patients who are included in the Sub Acute Project. Patients who needs terminal care
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Review of discharges and cross-sectoral video conferencing immediately after dischargeThe intervention is video conference which is randomized and is an intervention that is assigned by the investigator. | Other | Intervention |
Primary outcome
The proportion of patients who are readmitted
Time frame: 180 days
Acute readmissions to any hospital in Denmark
6 secondary outcomes
Use of municipal services (nursing, practical help, personal care)
Time frame: 4 months
Time to readmission
Time frame: 180 days
Total number of readmissions
Time frame: 180 days
Total number of days of readmission
Time frame: 180 days
The number of contacts with general practitioner
Time frame: 180 days
Death
Time frame: 180 days
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Jan 2015.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Solvejg Henneberg Pedersen, dr. study director
Region Zealand
Birgitte Dreyer Sørensen, cand. scient. san. publ. principal investigator
Region Zealand
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Review of discharges and cross-sectoral video conferencing immediately after discharge in people with Discharge Planning and Readmission, Hospital, run by Zealand University Hospital at 1 site in Denmark.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Jan 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The proportion of patients who are readmitted (time frame: 180 days). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jan 2015.