Can a Rapid 2 Day Followup After Discharge From the ED Reduce Readmissions and Death for Patients 75 Years and Older?

NCT ID: NCT01769495

Last Updated: 2017-04-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-31

Study Completion Date

2014-09-30

Brief Summary

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Our hypothesis is that a rapid follow up for elderly patients in a Geriatric Clinic discharged from the Emergency Department (ED) will have fewer unplanned return ED visits and fewer unplanned hospital admissions with no attendant increase in mortality.

Patients 75 years of age and older will be randomized following discharge from the ED into two groups. The first will receive standard post ED care. The second will receive an appointment to our Geriatric Clinic within 2-3 days for stabilization, further treatment and contact with the patient's primary physician to communicate the course of the patient's illness and to schedule subsequent follow-up with the patients regular medical provider.

There will be two primary outcomes: The first will be a composite of morality and/or return to the ED at 30 days, and the secondary primary outcome will be mortality. Economic data regarding resource utilization by patients will also be analyzed.

Detailed Description

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Conditions

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Emergencies

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Control

Standard post ED care

Group Type NO_INTERVENTION

No interventions assigned to this group

2-3 day return appointment

Patients will receive further treatment in Geriatric Clinic 2-3 days post ED discharge.

Group Type EXPERIMENTAL

2-3 day return appointment

Intervention Type OTHER

2-3 appointment in geriatric clinic following ED discharge

Interventions

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2-3 day return appointment

2-3 appointment in geriatric clinic following ED discharge

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* All patients 75 years of age and older discharged from the ED

Exclusion Criteria

* Younger than 75.
Minimum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Duke Endowment

OTHER

Sponsor Role collaborator

The William R. Kenan, Jr. Charitable Trust

OTHER

Sponsor Role collaborator

University of North Carolina, Chapel Hill

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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John S Kizer, MD

Role: PRINCIPAL_INVESTIGATOR

UNC Chapel Hill, NC

Locations

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UNC Hospitals

Chapel Hill, North Carolina, United States

Site Status

Countries

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United States

Other Identifiers

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DE 6366-SP

Identifier Type: -

Identifier Source: org_study_id

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