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OpenTrials
Completed

NCT Number: NCT00256659

Hospital Outcomes: Intervention in Moderately III Patients

To evaluate the utility of real time prognostic data (illness severity, stability and function) in the improvement of hospitalization morbidity, mortality, iatrogenic complications and length of stay.

Completed

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

New York Presbyterian Hospital- Weill Medical Center

New York, 10021, United States

About this study

To evaluate resource allocation and efficiency of ancillary service delivery in aggregate cost and 3 month follow up in regards to hospital readmission, living environment, and utilization of social services.

This is a randomized study which will compare the current Standard of Care in hospital to EARLY assessment and referrals with respect to social work services, rehabilitation, psychiatry, and nursing. In this study, the control group will receive the hospital support services provided under current system of delivery and allocation. The intervention group will not receive any new or different services not already provided to all patients at New York Presbyterian Hospital. The difference between the 2 groups will be the uniformity of screening to identify the needs of the patient in the respective area of social services, rehabilitation, psychiatric assistance, and nursing care, and the timeliness by which the referrals for support services will be placed.

Potential interventions: (In both control and experimental group)

  • Social work: Discharge planning (homecare, visiting nursing services, skilled nursing facility placement).
  • Rehabilitation: Physical Therapy (improve ADLs-activities of daily living).
  • Psychiatry: Diagnosis and Assistance in management of Depression.
  • Nursing: Prevention of in hospital falls and decubitus ulcer formation.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • All medical in-patients who are coded moderately ill with fair to poor function in the SIGNOUT program will be asked to participate in our study.
  • Patients who are able to provide verbal consent for their participation will be enrolled.

Exclusion criteria

  • Any patient not coded in the SIGNOUT system as moderately ill with fair to poor function.
  • Patients who refuses not to participate in the study.
  • Patients who are unable to give written informed consent.

Treatment and study plan

Early assessment and referral to ancillary care services vs. standard care

Behavioral

Primary outcomes

  1. To evaluate the utility of real time prognostic data and in the improvement of hospitalization morbidity, mortality, iatrogenic complications, and length of stay.

Secondary outcomes

  1. To evaluate resource allocation and efficiency of ancillary service delivery in aggregate cost and 3 month follow up in regards to hospital readmission, living environment, and utilization of social services.

Sponsors and collaborators

Lead sponsor

Weill Medical College of Cornell University

Other

Registry information

Important dates

Study start
1998
Study completion
1999
First posted
Nov 21, 2005
Registry last updated
Apr 3, 2008

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.