Trial Outcomes & Findings for Effectiveness and Clinical Outcomes of Municipal Acute Wards Versus a General Hospital (NCT NCT03885206)

Results Overview

Norwegian Patient Experience Questionnaire. Six of the eight NORPEQ items sum to produce an overall scale from 0 to 100, where 100 is the best possible experience of care. If respondents had missing values on more than half of the items, mean scores will be imputed.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

164 participants

Primary outcome timeframe

2-4 weeks after discharge

Results posted on

2024-11-04

Participant Flow

Participant milestones

Participant milestones
Measure	Hospital Level of healthcare service: Patients who can be admitted to a municipal acute ward (MAW) will be admitted to the hospital instead, so that the intervention is that patients are admitted to a higher level facility than needed. Recieve medical treatment as usual. Level of healthcare services: Patiens judged to be eligible for admittance to a municipal acute care wrad will be admitted to hospital as an intervnetion, to be able to compare same patient groups.	Municipal Acute Ward Patients admitted to decentralized, municipal acute care wards after being assessed by a referring physician.
Overall Study STARTED	49	115
Overall Study COMPLETED	26	70
Overall Study NOT COMPLETED	23	45

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Hospital n=49 Participants Level of healthcare service: Patients who can be admitted to a municipal acute ward (MAW) will be admitted to the hospital instead, so that the intervention is that patients are admitted to a higher level facility than needed. Recieve medical treatment as usual. Level of healthcare services: Patiens judged to be eligible for admittance to a municipal acute care wrad will be admitted to hospital as an intervnetion, to be able to compare same patient groups.	Municipal Acute Ward n=115 Participants Patients admitted to decentralized, municipal acute care wards after being assessed by a referring physician.	Total n=164 Participants Total of all reporting groups
Age, Continuous	66.9 years STANDARD_DEVIATION 19.9 • n=49 Participants	70.7 years STANDARD_DEVIATION 20.6 • n=115 Participants	69.6 years STANDARD_DEVIATION 20.4 • n=164 Participants
Sex: Female, Male Female	29 Participants n=49 Participants	77 Participants n=115 Participants	106 Participants n=164 Participants
Sex: Female, Male Male	20 Participants n=49 Participants	38 Participants n=115 Participants	58 Participants n=164 Participants
Race and Ethnicity Not Collected	—	—	0 Participants Race and Ethnicity were not collected from any participant.
EQ-5D index	0.3 units on a scale STANDARD_DEVIATION 0.4 • n=49 Participants	0.3 units on a scale STANDARD_DEVIATION 0.4 • n=115 Participants	0.3 units on a scale STANDARD_DEVIATION 0.4 • n=164 Participants

PRIMARY outcome

Timeframe: 2-4 weeks after discharge

Norwegian Patient Experience Questionnaire. Six of the eight NORPEQ items sum to produce an overall scale from 0 to 100, where 100 is the best possible experience of care. If respondents had missing values on more than half of the items, mean scores will be imputed.

Outcome measures

Outcome measures
Measure	Hospital n=49 Participants Level of healthcare service: Patients who can be admitted to a municipal acute ward (MAW) will be admitted to the hospital instead, so that the intervention is that patients are admitted to a higher level facility than needed. Recieve medical treatment as usual. Level of healthcare services: Patiens judged to be eligible for admittance to a municipal acute care wrad will be admitted to hospital as an intervnetion, to be able to compare same patient groups.	Municipal Acute Ward n=115 Participants Patients admitted to decentralized, municipal acute care wards after being assessed by a referring physician.
Patient Experiences, NORPEQ	78.7 units on a scale Standard Deviation 15.5	80.9 units on a scale Standard Deviation 9.8

SECONDARY outcome

Timeframe: 30 days

Number of deaths within 30 days after discharge, all causes

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 days

Number of re-admissions to hospital or MAW within 30 days after discharge, all causes

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 8 days

Number of days patients are admitted to either hospital or MAW

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 3 months

Number of inpatient stays in a healthcare institution

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 1,5 year

Number of patients transferred from MAW to hospital

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 4 weeks after discharge

As measured by the NORPEQ questionnaire. The questionnaire consist of eight items. The overall scale goes from 0 to 100, where 100 is the best possible experience of care. The

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 4 weeks after discharge

The RAND-12 health status inventory (aka SF-12) is a commonly used health status instrument, which was developed as part of the Medical outcomes study in the 1980s. It uses 12 items from the SF-36 and can be aggregated to a physical health component score and an mental health component score.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 1,5 year

Health related quality of life. The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state. The EQ VAS records the patient's self-rated health on a vertical visual analogue scale, where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine'. The VAS can be used as a quantitative measure of health outcome that reflect the patient's own judgement

Outcome measures

Outcome data not reported

Adverse Events

Hospital

Serious events: 0 serious events

Other events: 0 other events

Deaths: 5 deaths

Municipal Acute Ward

Serious events: 0 serious events

Other events: 0 other events

Deaths: 4 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Senior Consultant

Landsforeningen for hjerte- og lungesyke

Phone: 0047 95706313

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place