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Completed

NCT Number: NCT02800915

Telemedicine Makes the Patient Stay in Hospital at Home

The goal of the project is to study whether multidisciplinary follow- up performed via telemedicine to the patient in his or her own home, will improve the healthcare services offered to a particular group of patients. The hypotheses are that this could increase the treatment options, increase knowledge translation, give significant socioeconomic benefits, and allow greater accessibility to specialized healthcare services, as well as increase the involvement of patients and those working in primary healthcare.

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Key information

Conditions

Spinal Cord Injury Behavior Central Nervous System Diseases Motor Activity Nervous System Diseases Pressure Injury Pressure Ulcer Skin Diseases Skin Ulcer Skin and Connective Tissue Diseases Spinal Cord Diseases Spinal Cord Injuries Trauma, Nervous System Wounds and Injuries

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sunnaas Rehabilitation Hospital

Nesoddtangen, Akershus, 1450, Norway

About this study

The goals of rehabilitation are to improve functional level, decrease secondary morbidity and enhance health-related quality of life. The costs associated with pressure injury are considerable. In addition to direct treatment- related costs, pressure injury also impact the hospital performance metrics. On top of the financial implications, pressure injury have a significant impact on patient morbidity and -mortality, as well as on health related quality of life. The researchers believe there is a large potential for improvement in treatment of pressure injuries. An multidisciplinary approach, including home-based rehabilitation programs, might help prevent pressure injuries and their complications, and thus reduce associated costs. The investigators conducted a pilot in 2012, in which patients with spinal cord injury and pressure injury were monitored through multidisciplinary outpatient home care, using telemedicine. The project was beneficial for the consumers/ patients, especially in terms of consumer- participation and -contribution, improved quality of life, and a better cooperation between primary and specialized healthcare services. Retrospective economic analysis indicated that telemedicine provides great savings for public healthcare services, and that using telemedicine with other patient groups with similar problems, could be beneficial. A positive outcome of the current study can be made available to most people with pressure injury. Knowledge about pressure injury will contribute in both planning and establishment of good treatment lines for the patients, as well as contribute to environmental savings, and more proper use of the health resources. This may reduce the consumption of hospital services, because a larger proportion of services are provided by the municipality. An important scientific significance of this research will thus be to improve, simplify and streamline health care and health- related services.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Traumatic or non- traumatic SCI and ongoing pressure injury.
  • Consent to participate.

Exclusion criteria

  • Patients who are unable to give their consent due to cognitive problems.
  • Patients who do not have a permanent/ known address.

Treatment and study plan

Service innovation with focus on multidisciplinary collaboration

Other

The follow-up is performed via telemedicine (videoconference) to the patient in his or her own home, and in cooperation with the district nurses.

Other names: Telemedicine in outpatient follow-up

Primary outcomes

  1. Health related quality of life

    Time frame: 1 year

    Measured by the use of SF-36, EQ-5D and SCI QoL BDS

  2. Wound healing

    Time frame: 1 year

    The reduction of pressure injury size will be measured in percentage and time to healing as days from baseline to healing

  3. Cost-utility

    Time frame: 1 year

    Measured in Euro, by use of QUALYs and ICER in a CE plane

Secondary outcomes

  1. Experienced interaction, satisfaction and safety in the follow-up

    Time frame: 1 year

    Measured by use of a custom made Likert scale with 1 being completely dissatisfied and 5 being totally satisfied

  2. Environmental evaluation

    Time frame: 1 year

    Measured in terms of travel distance, travel time used and travel costs by use of The Michelin Travel's Route Planner. Environmental emission due to the travel will be measured in terms of Carbon Oxide values, called CO2 equivalents

Sponsors and collaborators

Lead sponsor

Sunnaas Rehabilitation Hospital

Other

Collaborators

  • Central Jutland Regional Hospital
  • Haukeland University Hospital
  • Karolinska Institutet
  • Norwegian Centre for Integrated Care and Telemedicine
  • Oslo Centre for Biostatistics and Epidemiology, Norway
  • Oslo University Hospital
  • Rigshospitalet, Denmark
  • Sahlgrenska University Hospital
  • St. Olavs Hospital
  • University of Alabama at Birmingham
  • University of Oslo

Registry information

Official study title

Telemedicine Makes the Patient Stay in Hospital at Home. Service Innovation With Focus on Multidisciplinary Collaboration

Acronym: TeleSCIpi

Important dates

Study start
2016
Primary completion
2019
Study completion
2019
First posted
Jun 15, 2016
Registry last updated
Jan 21, 2022

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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