A Study of the Effect of a Nurse Navigator Program on High Risk Patients

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-31

Study Completion Date

2026-06-30

Brief Summary

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The purpose of this study is to examine if educational intervention in high risk patients can lead to decreased hospital readmissions when compared to patients who are not in the intervention program. Additionally, to determine patient satisfaction with the educational program.

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Detailed Description

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Conditions

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Patient Readmission Arthroplasty, Replacement, Knee Arthroplasty, Replacement, Hip Heart Failure Pulmonary Disease, Chronic Obstructive Renal Insufficiency Body Mass Index Alcoholism

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Usual Practice

Patients with chronic conditions slated for surgery contacted once by pre-operative nurse to discuss surgery

Group Type NO_INTERVENTION

No interventions assigned to this group

Nurse Navigator

Patients with chronic conditions slated for surgery contacted once by pre-operative nurse to discuss surgery, then contacted at intervals by nurse navigator study team members

Group Type EXPERIMENTAL

Nurse Navigator Program

Intervention Type OTHER

Identification of specific chronic conditions and suggestion of management care of primary care physicians and referrals to specialists via nurse navigator team members.

Interventions

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Nurse Navigator Program

Identification of specific chronic conditions and suggestion of management care of primary care physicians and referrals to specialists via nurse navigator team members.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

\- Require total or partial hip or knee replacement and have one or more of the following diagnosis: Heart Failure (HF); Chronic obstructive pulmonary disease (COPD); Dialysis; Alcohol Abuse; Low BMI.