Overview

This trial is active, not recruiting.

Condition acute disease
Treatments virtual ward, usual care
Sponsor St. Michael's Hospital, Toronto
Collaborator Canadian Institutes of Health Research (CIHR)
Start date June 2010
End date June 2013
Trial size 1928 participants
Trial identifier NCT01108172, 216852-PHE-CEAJ-25173

Summary

The purpose of this study is to see whether a Virtual Ward reduces readmissions after hospital discharge.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking single blind (outcomes assessor)
Primary purpose health services research
Arm
(Active Comparator)
usual care
The usual care provided to patients after discharge from hospital
(Experimental)
virtual ward
A multidisciplinary team to optimize medical and social care for patients residing in their own homes

Primary Outcomes

Measure
Composite of readmission to hospital or death.
time frame: 30 days after hospital discharge

Secondary Outcomes

Measure
Composite of readmission or death
time frame: 90 days after discharge
Composite of readmission or death
time frame: 6 months after discharge
Composite of readmission or death
time frame: One year after discharge
Emergency department visits
time frame: 30 days after discharge
Emergency department visits
time frame: 90 days after discharge
Emergency department visits
time frame: 6 months after discharge
Emergency department visits
time frame: One year after discharge
Long-term care admission
time frame: 30 days after discharge
Long-term care admission
time frame: 90 days after discharge
Long-term care admission
time frame: 6 months after discahrge
Long-term care admission
time frame: One year after discharge
Death
time frame: 90 days after discharge
Death
time frame: 6 months after discharge
Death
time frame: One year after discharge
Death
time frame: 30 days after discharge
Composite of readmission to hospital or death.
time frame: One year after discharge
Readmission
time frame: One year after discharge
Emergency department visits
time frame: One year after discharge
Long-term care admission
time frame: One year after discharge
Death
time frame: One year after discharge

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: - Discharge from medical service - LACE score greater than or equal to 10 - Age greater than or equal or 18 - Resident in Toronto Central Local Health Integration Network catchment area - Patient or designate able to speak English well enough for follow up telephone calls Exclusion Criteria: - Previously enrolled in study - Discharged to a rehabilitation or complex continuing care facility

Additional Information

Official title A Virtual Ward to Reduce Readmissions After Hospital Discharge
Principal investigator Irfan Dhalla, MD, MSc
Description We will conduct a pragmatic, randomized controlled trial to evaluate a new model of care for high-risk medical patients after discharge from hospital. This new model of care has two key elements. First, we will use the LACE index (see citation below for details) to identify patients who are at high risk of readmission or death after hospital discharge. These patients will be randomized to either the Virtual Ward or usual care on the day of discharge. Although patients being cared for in the Virtual Ward will reside at home, they will benefit from a hospital-like interdisciplinary team, a shared set of notes, a single point of contact, round-the-clock physician availability and increased co-ordination of specialist, primary and home-based community care for several weeks after hospital discharge.
Trial information was received from ClinicalTrials.gov and was last updated in December 2013.
Information provided to ClinicalTrials.gov by St. Michael's Hospital, Toronto.