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OpenTrials
Completed

NCT Number: NCT02277327

Trial to Reduce Hospitalizations in Children With Medical Complexity

The investigators hypothesize that an intervention, within an established patient-centered medical home, aimed at reducing modifiable risks for hospitalization, can decrease hospital utilization among medically complex children.

Completed

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Key information

Age range

1 month–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

UCLA

Los Angeles, California, 90095, United States

About this study

The investigators will pilot test an intervention that includes contingency planning and care transitions within an established medical home program caring for children with medical complexity. Children with medical complexity receiving care within the UCLA Medical Home Program will be randomized to the pilot intervention or usual medical home care. The primary goal will be to reduce admissions and readmissions in the intervention group.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Children ages 0 to 17 years old who are enrolled in the Pediatric Medical Home Program at UCLA
  • English and Spanish-speaking only

Exclusion criteria

  • Children older than 17 years old who are enrolled in the Pediatric Medical Home Program
  • Non-English and Non-Spanish speakers

Treatment and study plan

Plans of Action and Care Transitions

Behavioral

Subjects randomized to the "intervention" will participate in action planning and care transitions (if hospitalized during the study period)

Routine Care

Behavioral

Subjects randomized to the "control" group will continue to receive routine care within the medical home program

Primary outcomes

  1. (1) number of all-cause admissions, defined as any admission occurring during the study period

    Time frame: 18 to 24 months

  2. (2) preventable admissions, defined by 2 independent physicians blinded to study assignment as an admission due primarily to one of the preventable factors identified from Phase 1 of the study

    Time frame: 18 to 24 months

Sponsors and collaborators

Lead sponsor

University of California, Los Angeles

Other

Registry information

Official study title

Randomized Controlled Trial to Decrease Admission Rates in Medically Complex Children in a Medical Home Program

Important dates

Study start
2014
Primary completion
2016
Study completion
2016
First posted
Oct 29, 2014
Registry last updated
Oct 26, 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.

Published trials that share one or more normalized conditions with this study.