Fast-track Discharge With Telemedicine

NCT ID: NCT03730285

Last Updated: 2018-11-05

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-30

Study Completion Date

2021-04-30

Brief Summary

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Evaluation of discharge after arrival at emergency unit, Kolding Hospital combined with treatment and rehabilitation in the home either by telemedicine or the usual treatment

Detailed Description

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Participants are acute in-patients at the Medical Department, Kolding Hospital. Participants shall be informed about the project, and all screened initially within 30 minutes. After 3-4 hours adjusted treatment and possible need for new investigations are conducted. Patients are randomized at discharge to home treatment with rounds via telemedicine with support of emergency team of nurses or hospitalization in emergency unit. Observations, treatment and rehabilitation follow the same standards and guidelines for all patients. The cohort of patients is recruited between Oct 1, 2015 until January 1, 2016. The study is a randomized quality evaluation study of patient satisfaction, of the emergency team at Kolding Municipality, re-admittance rate, use of other health services, and new services from the municipality.

Conditions

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Emergencies

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Telemedicine

Discharge with telemedicine contact to emergency nurse, doctor, and municipality

Group Type ACTIVE_COMPARATOR

Telemedicine

Intervention Type DEVICE

Installation of videotelephone with broadband in patient's home

Control

Standard care with 24-48 h observation at emergency unit

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Telemedicine

Installation of videotelephone with broadband in patient's home

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* municipal home care at admittance
* admitted to medical emergency care unit at Kolding Hospital

Exclusion Criteria

* ketoacidosis,
* hyperosmolar diabetic coma,
* serious hypercalcemia,
* acute renal insufficiency with serum-creatinin \> 175 mmol/l,
* serious cardiac failure
* septicemia
* acute coronary disease
* apoplexia cerebri
* neuroinfection
* progressive or active cancer
* hepatic disease
* serious psychiatric disease
Minimum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kolding Sygehus

OTHER

Sponsor Role lead

Responsible Party

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Ole Winther Rasmussen

Senior Consultant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ole W Rasmussen, DrMedScie

Role: PRINCIPAL_INVESTIGATOR

Kolding Sygehs, Medical Department

Central Contacts

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Ole W Rasmussen, Dr Med Scie

Role: CONTACT

004576362000

Finn F Lauszus, PhD

Role: CONTACT

004578430999

References

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van Mastrigt GA, Joore MA, Nieman FH, Severens JL, Maessen JG. Health-related quality of life after fast-track treatment results from a randomized controlled clinical equivalence trial. Qual Life Res. 2010 Jun;19(5):631-42. doi: 10.1007/s11136-010-9625-5. Epub 2010 Mar 26.

Reference Type BACKGROUND
PMID: 20340049 (View on PubMed)

Shea S, Weinstock RS, Teresi JA, Palmas W, Starren J, Cimino JJ, Lai AM, Field L, Morin PC, Goland R, Izquierdo RE, Ebner S, Silver S, Petkova E, Kong J, Eimicke JP; IDEATel Consortium. A randomized trial comparing telemedicine case management with usual care in older, ethnically diverse, medically underserved patients with diabetes mellitus: 5 year results of the IDEATel study. J Am Med Inform Assoc. 2009 Jul-Aug;16(4):446-56. doi: 10.1197/jamia.M3157. Epub 2009 Apr 23.

Reference Type BACKGROUND
PMID: 19390093 (View on PubMed)

Mayes PA, Silvers A, Prendergast JJ. New direction for enhancing quality in diabetes care: utilizing telecommunications and paraprofessional outreach workers backed by an expert medical team. Telemed J E Health. 2010 Apr;16(3):358-63. doi: 10.1089/tmj.2009.0110.

Reference Type BACKGROUND
PMID: 20406123 (View on PubMed)

Other Identifiers

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Fast-track telemedicine

Identifier Type: -

Identifier Source: org_study_id

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