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What is the effect of telephone aftercare for elderly patients, who are discharged home from the Emergency Department of a large inner-city hospital?


- candidate number28158
- NTR NumberNTR6815
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR7-nov-2017
- Secondary IDs17-028 METC Zuidwest Holland
- Public TitleWhat is the effect of telephone aftercare for elderly patients, who are discharged home from the Emergency Department of a large inner-city hospital?
- Scientific TitleThe effect of Telephone AFtercare for ELderly Patients after discharge from the Emergency Department in a large inner-city hospital.
- ACRONYMTAFEL-study
- hypothesisWe hypothesize that telephone aftercare for patients of 70 years and older within 24 hours after discharge to a home setting from the ED will lead to a reduction in hospital admission, in avoidable, unanticipated hospital admissions and ED visits within 30 days after the ED visit; that it will improve patient satisfaction; and that it will be cost-effective. We hypothesize that for patients with cognitive impairment and hazardous alcohol use telephone aftercare will not be as effective, whereas decreased general daily functioning and crowding in the ED during discharge of the patient will predict a positive effect of telephone aftercare.
- Healt Condition(s) or Problem(s) studiedElderly patients, Aftercare, Emergency department
- Inclusion criteriaED patients (1) age 70 years and older (2) returning to a home setting after ED discharge and (3) willing to participate.
- Exclusion criteriaED patients will be excluded if they are <70 years of age, admitted to the hospital, transferred to or from another hospital, discharged to a nursing home, or if they do not have a telephone.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingNone
- controlPlacebo
- groupFactorial
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-mrt-2018
- planned closingdate1-mrt-2019
- Target number of participants5328
- InterventionsPatients in the intervention group will receive a telephone call from a specialized ED nurse within 24 hours after ED discharge during which discharge instructions are reviewed and follow-up appointments and care are facilitated if needed. Patients will also be asked to give a satisfaction score for the treatment they received in the ED. Patients in the control group will receive a patient satisfaction survey telephone call within 24 hours after ED discharge.
- Primary outcomeThe difference in hospital admissions within 30 days after ED discharge between the intervention and the control group.
- Secondary outcomeThe difference in unanticipated avoidable hospital admissions within 30 days after ED discharge, unanticipated, avoidable ED return visits within 30 days after ED discharge, difference in functional outcome 30 days after ED discharge and difference in patient satisfaction between the two groups and cost-effectiveness.
- Timepoints30 days after ED discharge
- Trial web site
- statusplanned
- CONTACT FOR PUBLIC QUERIES M. Loon, van
- CONTACT for SCIENTIFIC QUERIES M. Loon, van
- Sponsor/Initiator Haaglanden Medisch Centrum
- Funding
(Source(s) of Monetary or Material Support)
Jacobus Stichting
- Publications
- Brief summaryElderly patients, discharged to a home setting from the Emergency Department (ED) may be at high risk for adverse outcomes. To improve their outcome, telephone aftercare was started in our hospital. We would like to assess whether telephone aftercare for patients of ≥70 years after ED discharge to a home setting leads to reduction in hospital admissions and return ED visits within 30 days, better patient satisfaction and cost-effectiveness. We will conduct a comparative study with two groups: an intervention group, who will receive a telephone call from a specialized ED nurse during which discharge instructions are reviewed, follow-up appointments and care are facilitated and patient satisfaction will be scored, and a control group who will receive a patient satisfaction survey telephone call. After 30 days health service use of all patients will be evaluated.
- Main changes (audit trail)
- RECORD7-nov-2017 - 30-nov-2017


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