Trial Outcomes & Findings for Reducing Veterans Hospitalizations From Community Living Centers (NCT NCT04195880)
NCT ID: NCT04195880
Last Updated: 2023-07-27
Results Overview
hospital admissions from nursing home per person year at risk of being hospitalized calculated for each of the 16 facilities per month of observation during the 18 months of the active study and 18 months preceding introduction of the intervention in the experimental facilities. This measure is constructed from EMR data and not from a scale.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
6543 participants
Primary outcome timeframe
36 months
Results posted on
2023-07-27
Participant Flow
All Veterans admitted to any of the eight experimental and eight control facilities (VA Community Living Centers) during the study timeframe, January 2016 - December 2017.
Participant milestones
| Measure |
Experimental VA Community Living Centers
Eight VA CLCs selected to receive the INTERACT intervention
Interventions to Reduce Acute Care Transfers: Experimental CLCs were trained in INTERACT QI Intervention, containing tools, strategies and educational resources designed to catch and manage acute changes in conditions early that a Veteran may be experiencing, leading to a potential reduction in preventable hospital transfers from CLCs.
|
Control VA Community Living Centers
Eight CLCs, matched to experiment CLCs, based on size, location to VAMC, and hospitalization rates, did not receive the intervention and continued care as usual
|
|---|---|---|
|
Overall Study
STARTED
|
3205
|
3338
|
|
Overall Study
COMPLETED
|
3205
|
3338
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Reducing Veterans Hospitalizations From Community Living Centers
Baseline characteristics by cohort
| Measure |
Experimental VA Community Living Centers
n=3205 Participants
Eight VA CLCs selected to receive the INTERACT intervention
Interventions to Reduce Acute Care Transfers: Experimental CLCs were trained in INTERACT QI Intervention, containing tools, strategies and educational resources designed to catch and manage acute changes in conditions early that a Veteran may be experiencing, leading to a potential reduction in preventable hospital transfers from CLCs.
|
Control VA Community Living Centers
n=3338 Participants
Eight CLCs, matched to experiment CLCs, based on size, location to VAMC, and hospitalization rates, did not receive the intervention and continued care as usual
|
Total
n=6543 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Customized
<55
|
121 Participants
n=5 Participants
|
141 Participants
n=7 Participants
|
262 Participants
n=5 Participants
|
|
Age, Customized
55-64
|
542 Participants
n=5 Participants
|
583 Participants
n=7 Participants
|
1125 Participants
n=5 Participants
|
|
Age, Customized
65-74
|
1187 Participants
n=5 Participants
|
1150 Participants
n=7 Participants
|
2337 Participants
n=5 Participants
|
|
Age, Customized
75-84
|
673 Participants
n=5 Participants
|
656 Participants
n=7 Participants
|
1329 Participants
n=5 Participants
|
|
Age, Customized
85+
|
682 Participants
n=5 Participants
|
808 Participants
n=7 Participants
|
1490 Participants
n=5 Participants
|
|
Sex: Female, Male
Female
|
110 Participants
n=5 Participants
|
84 Participants
n=7 Participants
|
194 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
3095 Participants
n=5 Participants
|
3254 Participants
n=7 Participants
|
6349 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
White, non-Hispanic
|
2308 Participants
n=5 Participants
|
2374 Participants
n=7 Participants
|
4682 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Black
|
788 Participants
n=5 Participants
|
816 Participants
n=7 Participants
|
1604 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Hispanic
|
47 Participants
n=5 Participants
|
79 Participants
n=7 Participants
|
126 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Other
|
28 Participants
n=5 Participants
|
39 Participants
n=7 Participants
|
67 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Unknown
|
34 Participants
n=5 Participants
|
30 Participants
n=7 Participants
|
64 Participants
n=5 Participants
|
|
Region of Enrollment
United States
|
3205 Participants
n=5 Participants
|
3338 Participants
n=7 Participants
|
6543 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: 36 monthshospital admissions from nursing home per person year at risk of being hospitalized calculated for each of the 16 facilities per month of observation during the 18 months of the active study and 18 months preceding introduction of the intervention in the experimental facilities. This measure is constructed from EMR data and not from a scale.
Outcome measures
| Measure |
Experimental VA Community Living Centers
n=3205 Participants
Eight VA CLCs selected to receive the INTERACT intervention
Interventions to Reduce Acute Care Transfers: Experimental CLCs were trained in INTERACT QI Intervention, containing tools, strategies and educational resources designed to catch and manage acute changes in conditions early that a Veteran may be experiencing, leading to a potential reduction in preventable hospital transfers from CLCs.
|
Control VA Community Living Centers
n=3338 Participants
Eight CLCs, matched to experiment CLCs, based on size, location to VAMC, and hospitalization rates, did not receive the intervention and continued care as usual
|
|---|---|---|
|
Hospital Admissions Per Person Year Alive Measured at the Facility Month Level
|
5.5 hospitalizations per person year alive
Standard Error 2.5
|
5.8 hospitalizations per person year alive
Standard Error 2.5
|
SECONDARY outcome
Timeframe: 18 months followup during observation period.Potentially avoidable hospitalization per person year alive aggregated to the facility level. These hospitalizations are a sub-set of all hospitalizations based upon an AHRQ algorithm frequently referenced in the literature.
Outcome measures
| Measure |
Experimental VA Community Living Centers
n=3205 Participants
Eight VA CLCs selected to receive the INTERACT intervention
Interventions to Reduce Acute Care Transfers: Experimental CLCs were trained in INTERACT QI Intervention, containing tools, strategies and educational resources designed to catch and manage acute changes in conditions early that a Veteran may be experiencing, leading to a potential reduction in preventable hospital transfers from CLCs.
|
Control VA Community Living Centers
n=3338 Participants
Eight CLCs, matched to experiment CLCs, based on size, location to VAMC, and hospitalization rates, did not receive the intervention and continued care as usual
|
|---|---|---|
|
Potentially Avoidable Hospitalizations
|
.3 hospitalizations per person year alive
Interval 0.0 to 1.4
|
.2 hospitalizations per person year alive
Interval 0.0 to 1.3
|
Adverse Events
Experimental VA Community Living Centers
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Control VA Community Living Centers
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place