A Prospective Randomised Control Trial to Study the Effectiveness of a Health Service Innovation Using a Modified Virtual Ward Model to Prevent Unscheduled Readmission of High Risk Patients

Sponsor

Singapore General Hospital (Other)

Overall Status

Completed

CT.gov ID

NCT02325752

Collaborator

Agency for Integrated Care, Singapore (Other), Duke-NUS Graduate Medical School (Other)

840

Enrollment

Arms

17.1

Duration (Months)

Study Details

Study Description

Brief Summary

The investigators conducted an open randomized control study of patients who received the transitional care program versus patients who received usual care at the Singapore General Hospital from Aug 2011 to Sept 2012.

Condition or Disease	Intervention/Treatment	Phase
Chronic Diseases	Other: Intervention	N/A

Detailed Description

Study Design

Study Type:

Interventional

Actual Enrollment :

840 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Participant)

Primary Purpose:

Health Services Research

Official Title:

A Prospective Randomised Control Trial to Study the Effectiveness of a Health Service Innovation Using a Modified Virtual Ward Model to Prevent Unscheduled Readmission of High Risk Patients

Study Start Date :

Aug 1, 2011

Actual Primary Completion Date :

Oct 1, 2012

Actual Study Completion Date :

Jan 1, 2013

Arms and Interventions

Arm	Intervention/Treatment
No Intervention: Control Patients in the control group received usual care by the hospital. There was no contact between the patients in the control group and the study team throughout the 3 months interval. A scheduled telephone call was made at the end of 3 months when they were invited to participate in a telephone survey.
Active Comparator: Intervention Intervention	Other: Intervention A multidisciplinary team delivered the transitional care program. Our transitional care program focused on four key areas: Post discharge surveillance of the patient to ensure adherence to care plans. Coordination of follow-up visits with specialist care providers. Patent education and care giver training. Activation of community and social services. Upon recruitment, the patients were interviewed and assessed by the team nurse prior to their discharge. Intervention starts upon discharge from the hospital. The duration of the intervention program was 3 months. A follow-up by telephone was made within 72 hours after discharge to assess patient's condition and adherence to treatment plan. Home visits were made within 2 weeks after discharge.

Arm

Intervention/Treatment

No Intervention: Control

Patients in the control group received usual care by the hospital. There was no contact between the patients in the control group and the study team throughout the 3 months interval. A scheduled telephone call was made at the end of 3 months when they were invited to participate in a telephone survey.

Active Comparator: Intervention

Intervention

Other: Intervention

A multidisciplinary team delivered the transitional care program. Our transitional care program focused on four key areas: Post discharge surveillance of the patient to ensure adherence to care plans. Coordination of follow-up visits with specialist care providers. Patent education and care giver training. Activation of community and social services. Upon recruitment, the patients were interviewed and assessed by the team nurse prior to their discharge. Intervention starts upon discharge from the hospital. The duration of the intervention program was 3 months. A follow-up by telephone was made within 72 hours after discharge to assess patient's condition and adherence to treatment plan. Home visits were made within 2 weeks after discharge.

Outcome Measures

Primary Outcome Measures

Rate of readmission [30 days]
Any hospital admission after randomisation

Eligibility Criteria

Criteria

Ages Eligible for Study:

21 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Patients with 2 or more unscheduled admission in the last 90 days to selected medical departments
LACE score of ≥10.

Exclusion Criteria:

Non-residents
No telephone contact or a resident address
Residing in long term care facilities.

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

Singapore General Hospital
Agency for Integrated Care, Singapore
Duke-NUS Graduate Medical School

Investigators

Principal Investigator: Kheng Hock Lee, MBBS, Singhealth Foundation

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Singapore General Hospital

ClinicalTrials.gov Identifier:

NCT02325752

Other Study ID Numbers:

2011/380/E

First Posted:

Dec 25, 2014

Last Update Posted:

Feb 10, 2017

Last Verified:

Feb 1, 2017

Keywords provided by Singapore General Hospital

readmission

chronic diseases

Additional relevant MeSH terms:

Chronic Disease

Study Results

No Results Posted as of Feb 10, 2017