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N/A N=1,915 Screening

Improving Patient Prioritization During Hospital-homecare Transition

Diabetes Mellitus, Type 2 · Congestive Heart Failure · Obstructive Pulmonary Disease · Dyspnea · Renal Failure

Enrolled (actual)
1,915
Serious AEs
0.0%
Results posted
Oct 2025
Primary outcome: Primary: Number of Rehospitalizations Within 60 Days After Hospital Discharge — 807 rehospitalizations

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
PREVENT clinical decision support (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Columbia University
Primary completion
Apr 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Rehospitalizations Within 60 Days After Hospital Discharge
807

Summary

This research work is focused on building and evaluating one of the first evidence-based clinical decision support tools for homecare in the United States. The results of this study have the potential to standardize and individualize nursing decision making using cutting-edge technology and to improve patient outcomes in the homecare setting.

Eligibility Criteria

Aim 1:

Inclusion criteria

  • being a patient of either NewYork-Presbyterian (NYP)/Columbia University Irving Medical Center or NewYork-Presbyterian Allen Hospital;
  • being referred to Visiting Nurse Services of New York (VNSNY) homecare services
  • 18 years old or older.

Exclusion criteria

All other patients are going to be excluded.

Aim 2 :

Inclusion criteria

  • working as an admission staff for VNSNY
  • 18 years old or older.

Exclusion criteria

All other staff members are going to be excluded.

For both study aims, there will be no exclusion based on sex, race, or ethnic group.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04136951). 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.

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