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DiabetesNCT05456906

Avoidable Hospitalizations/ Emergency Department Visits- Systematic Review and Meta-synthesis of Qualitative Research

An observational study of Diabetes and Heart Failure, run by Kaohsiung Medical University at 1 site in Taiwan.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The aim of the study is to synthesize qualitative evidence related to preventable hospitalizations/ emergency department visits from the perspectives of patients, their families/caregivers, health care providers, and stakeholders, in the hope to identify generalizable conclusions about why social risk factors matter… Read more about this study

Who is it for?
Ages 18 years and older
How many people
30 participants
Where
1 siteTaiwan
Study dates
1 Jun 2022to 31 Aug 2022
Phase
Observational
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients who experienced preventable hospitalizations and/ or emergency department visits, their families, and health care providers, with no restriction on publication date or country of origin, are included, regardless of their ages, gender, race/ethnicity, and country of birth.

Patients were admitted to hospitals and/ or visited the emergency department due to preventable conditions, including diabetes acute complications, diabetes chronic complications, uncontrolled diabetes, low-extremity amputation due to diabetes, COPD, heart failure, hypertension, urinary tract infection, and pneumonia. Patients' families and their health care providers are also included.

exclusion criteria: patients with dementia, mental illness, or cancer

Trial locations and contacts

1 site in 1 country.

Hsueh-Fen Chen, Ph.D. contact

07-3121101 ext. 2648

Chenhf@kmu.edu.tw

Taiwan1 site, 1 recruiting

  • Kaohsiung Medical University

    Kaohsiung City, 807

    Hsueh-Fen Chen, Ph.D., 073121101 ext. 2648, Chenhf@kmu.edu.tw

    Recruiting

Other trials in Taiwan

About this study

Official title: Avoidable Hospitalizations/ Emergency Department Visits- Meta-synthesis of Qualitative Research

The aim of the study is to synthesize qualitative evidence related to preventable hospitalizations/ emergency department visits from the perspectives of patients, their families/caregivers, health care providers, and stakeholders, in the hope to identify generalizable conclusions about why social risk factors matter to preventable hospitalizations/ emergency department visits

Read the detailed description

The present study is a qualitative systematic review and meta-synthesis study. The study primarily focused on the qualitative studies that collected and analyzed narratives from patients who experienced preventable hospitalizations. The information from their families, health care providers, and stakeholders in the qualitative studies are also included. The data collections from patients occurred during their hospital stay, emergency department stay, or after discharge to the community are included. Patients included all ages and gender, regardless of their race/ethnicity and countries.

The qualitative studies must be published in peer-reviewed journals, with language as english and no restriction on publication date or country of origin. Two authors (HC and HL) independently screened the title and reviewed abstracts, then full texts for eligibility. Thorugh synthesizing, the present study is expected to develop themes and sub-themes related to preventable hospitalizations/emergency department visits, in the hope to assist policymakers health care professionals, and stakeholders in properly addressing the underlying factors leading to preventable hospitalizations/emergency department visits .

Being tested
No intervention
Keywords
Meta-analysis, Qualitative study, Systematic review, social determinants of health
Medical subject headings
Diabetes Mellitus, Heart Failure, Pulmonary Disease, Chronic Obstructive, Asthma, Hypertension, Urinary Tract Infections, Pneumonia, Bacterial

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • No interventionOther

    No interventions

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. preventable hospitalizations and/or preventable emergency department visits

    patients who experienced hospitalizations and/ or emergency department visits due to any of the conditions: diabetes-related complication, heart failure, asthma, COPD, urinary tract infection, and bacteria

    Measured: Patients were hospitalized or visited emergency department visits as the base line. The interviews were conducted during patient inpatient stay/ emergency department stay or after discharge to the community up to 3 years.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Jul 2022
  2. Study start1 Jun 2022
  3. Primary completion20 Jul 2022 (estimated)
  4. Study completion31 Aug 2022 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Retrospective
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05456906
Sponsor's protocol ID
11
Other IDs
MOST110-2410-H-037-018-MY3
Status last verified
Jul 2022
First submitted
30 Jun 2022
Last updated
13 Jul 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: contact the corresponding author for reasonable reasons

Publications

  • Granger BB, McBroom K, Bosworth HB, Hernandez A, Ekman I. The meanings associated with medicines in heart failure patients. Eur J Cardiovasc Nurs. 2013 Jun;12(3):276-83. doi: 10.1177/1474515112447734. Epub 2012 May 30.

    PubMed 22653088

  • James S, Annetts K, Frakking T, Broadbent M, Waugh J, Perry L, Lowe J, Clark S. Diabetic ketoacidosis presentations in a low socio-economic area: are services suitable? BMC Health Serv Res. 2021 Jul 10;21(1):682. doi: 10.1186/s12913-021-06715-7.

    PubMed 34246266

  • Longman JM, Rix E, Johnston JJ, Passey ME. Ambulatory care sensitive chronic conditions: what can we learn from patients about the role of primary health care in preventing admissions? Aust J Prim Health. 2018 Aug;24(4):304-310. doi: 10.1071/PY17191. Epub 2018 Aug 6.

    PubMed 30078392

  • Pasciak WE, Berg DN, Cherlin E, Fried T, Lipska KJ. Qualitative analysis of reasons for hospitalization for severe hypoglycemia among older adults with diabetes. BMC Geriatr. 2021 May 17;21(1):318. doi: 10.1186/s12877-021-02268-w.

    PubMed 34001014

  • Quensell ML, Taira DA, Seto TB, Braun KL, Sentell TL. "I Need my Own Place to get Better": Patient Perspectives on the Role of Housing in Potentially Preventable Hospitalizations. J Health Care Poor Underserved. 2017;28(2):784-797. doi: 10.1353/hpu.2017.0074.

    PubMed 28529224

  • Sentell TL, Seto TB, Young MM, Vawer M, Quensell ML, Braun KL, Taira DA. Pathways to potentially preventable hospitalizations for diabetes and heart failure: a qualitative analysis of patient perspectives. BMC Health Serv Res. 2016 Jul 26;16:300. doi: 10.1186/s12913-016-1511-6.

    PubMed 27456233

  • Shearer JE, Jenkins CH, Magwood GS, Pope CA. Contested Ownership of Disease and Ambulatory-Sensitive Emergency Department Visits for Type 2 Diabetes. Am J Med Sci. 2016 Apr;351(4):400-6. doi: 10.1016/j.amjms.2016.01.007.

    PubMed 27079346

  • van den Broek S, Heiwegen N, Verhofstad M, Akkermans R, van Westerop L, Schoon Y, Hesselink G. Preventable emergency admissions of older adults: an observational mixed-method study of rates, associative factors and underlying causes in two Dutch hospitals. BMJ Open. 2020 Nov 20;10(11):e040431. doi: 10.1136/bmjopen-2020-040431.

    PubMed 33444202

  • Manski-Nankervis JA, Furler J, Audehm R, Blackberry I, Young D. Potentially preventable hospitalisations: are they a useful marker of access to and experience of care in general practice among people with type 2 diabetes? Aust J Prim Health. 2015;21(2):214-20. doi: 10.1071/PY13112.

    PubMed 24491142

  • Ridge A, Peterson GM, Seidel BM, Anderson V, Nash R. Rural Patients' Perceptions of Their Potentially Preventable Hospitalisation: A Qualitative Study. J Patient Exp. 2022 Jan 4;9:23743735211069825. doi: 10.1177/23743735211069825. eCollection 2022.

    PubMed 35005222

  • McKenna G, Rogers A, Walker S, Pope C. The influence of personal communities in understanding avoidable emergency department attendance: qualitative study. BMC Health Serv Res. 2020 Sep 21;20(1):887. doi: 10.1186/s12913-020-05705-5.

    PubMed 32958065

  • Agarwal S, Banerjee J, Baker R, Conroy S, Hsu R, Rashid A, Camosso-Stefinovic J, Sinfield P, Habiba M. Potentially avoidable emergency department attendance: interview study of patients' reasons for attendance. Emerg Med J. 2012 Dec;29(12):e3. doi: 10.1136/emermed-2011-200585. Epub 2011 Dec 28.

    PubMed 22205782

  • Chen HF, Lin HR. Social determinants of ambulatory care sensitive conditions: a qualitative meta-synthesis based on patient perspectives. Front Public Health. 2023 May 9;11:1147732. doi: 10.3389/fpubh.2023.1147732. eCollection 2023.

    PubMed 37228726

Questions about this trial

What is this clinical trial studying?

An observational study of Diabetes and Heart Failure, run by Kaohsiung Medical University at 1 site in Taiwan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

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: status not confirmed, as of the sponsor's last update on 13 Jul 2022. 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 Taiwan. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Hsueh-Fen Chen, Ph.D. (07-3121101 ext. 2648, Chenhf@kmu.edu.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

preventable hospitalizations and/or preventable emergency department visits (time frame: Patients were hospitalized or visited emergency department visits as the base line. The interviews were conducted during patient inpatient stay/ emergency department stay or after discharge to the community up to 3 years.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05456906, which also lists 13 linked publications.

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 13 Jul 2022.

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