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OpenTrials
Completed

NCT Number: NCT01769495

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

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.

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Key information

Conditions

Emergencies Disease Attributes Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

75 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

UNC Hospitals

Chapel Hill, North Carolina, 27599, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Exclusion criteria

  • Younger than 75.

Treatment and study plan

2-3 day return appointment

Other

2-3 appointment in geriatric clinic following ED discharge

Primary outcomes

  1. Mortality and readmissions to emergency department

    Time frame: 30 and 180 days

Secondary outcomes

  1. Mortality

    Time frame: 30 and 180 days

    Secondary outcome to measure all cause mortality for patients admitted to the study.

Other outcomes

  1. Medical Resource utilization

    Time frame: 30 days and 180 days

Sponsors and collaborators

Lead sponsor

University of North Carolina, Chapel Hill

Other

Collaborators

  • The Duke Endowment
  • The William R. Kenan, Jr. Charitable Trust

Registry information

Official study title

A Randomized Trial of the Effect of a Geriatrics Appointment Within 2-3 Days of Discharge From the Emergency Department(ED) in Reducing ED and Hospital Readmissions for Patients 75 Years of Age and Older.

Important dates

Study start
2013
Primary completion
2014
Study completion
2014
First posted
Jan 16, 2013
Registry last updated
Apr 17, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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