N/A N=1,101 Randomized Single-blind Supportive Care

An Emergency Department-To-Home Intervention to Improve Quality of Life and Reduce Hospital Use

ED Patients With Chronic Medical Illnesses

Bottom Line

View on ClinicalTrials.gov: NCT02079987 ↗

Enrolled (actual)

1,101

Serious AEs

18.0%

Results posted

Apr 2019

Primary outcome: Primary: Change in Physical Function Between Baseline and 60 Days Post-ED Visit — -1.47; -0.83 T-score — p=0.49

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: ED-to-home care transition intervention (Behavioral); Usual Care (Other)
Age: Adult, Older Adult · 60+ yrs
Sex: All
Sponsor: University of Florida
Primary completion: Nov 2015

Outcome Measures

Outcome	Result	p-value
PRIMARY Change in Physical Function Between Baseline and 60 Days Post-ED Visit	-1.47; -0.83	0.49
PRIMARY Change in Anxiety Between Baseline and 60 Days Post-ED Visit	1.53; 0.21	0.23
PRIMARY Change in Informational Support Between Baseline and 60 Days Post-ED Visit	-1.45; -2.84	0.25
PRIMARY Number of Participants With Outpatient Visit Claims	456; 417	0.03 sig
PRIMARY Number of Participants With ED Visit Claims	135; 124	0.57
PRIMARY Number of Participants With In-patient Admission Claims	87; 78	0.87

Summary

The purpose of this study is to determine if assigning older, chronically ill patients a healthcare coach after they leave the Emergency Department (ED) improves their quality of life and reduces the need for hospital-based care.

Eligibility Criteria

Inclusion Criteria

60 years of age or older
Medicare beneficiaries
Community dwelling
Reside within defined geographical area (to enable home visits)
Have a working telephone
Have at least one of the following conditions documented in their electronic medical record: congestive heart failure, chronic obstructive pulmonary disease, coronary artery disease, diabetes, stroke, pneumonia, medical and surgical back conditions (predominantly spinal stenosis), hip fracture, peripheral vascular disease, cardiac arrhythmias, deep venous thrombosis, pulmonary embolism, peptic ulcer disease or hemorrhage

Exclusion Criteria

Current diagnosis of psychosis
Cancer
Dialysis
History of organ transplantation
Dementia without a live-in caregiver, or
In hospice care
Reside outside the defined geographical area
Reside in a skilled nursing or assisted living facility

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02079987). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.