This trial is active, not recruiting.

Condition the focus is to investigate effect of a case management interventions in frequent visitors to emergency departments
Treatment case-management intervention
Sponsor Health Navigator
Collaborator Stockholm County Council, Sweden
Start date July 2010
End date April 2015
Trial size 15000 participants
Trial identifier NCT01985074, HN-AHS-MBS-1


The aim of the study is to determine whether a nurse-managed telephone-based case-management intervention can reduce healthcare utilization and improve self-assessed health status in frequent emergency department users.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification safety/efficacy study
Intervention model parallel assignment
Masking open label
Primary purpose supportive care
Receiving nurse-managed intervention
case-management intervention
The participants in the intervention group receives a nurse-managed case-management intervention that is regularly delivered by telephone or, when necessary, in person.
(No Intervention)
Control group not receiving any intervention

Primary Outcomes

Number of outpatient visits to medical doctor
time frame: During first two years of follow-up
Number of hospitalizations
time frame: During first two years of follow-up

Secondary Outcomes

time frame: During first two years of follow-up
Length of hospital stay
time frame: During first two years of follow-up
Total health care costs
time frame: During first two years of follow-up

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: - Recent history of frequent visits to emergency department - Anticipated sustained high visit frequency - Living in one of five Swedish counties where trial is ongoing Exclusion Criteria: - Moribund patients - Psychosis - Severe hearing impairment or language difficulties - Other factors that may make it impossible or impractical for a patient to participate in the study

Additional Information

Official title A Case Management Study Targeted to Reduce Health Care Utilization for Frequent Emergency Department Visitors
Principal investigator Gsutaf Edgren, MD PhD
Description The study tests a nurse-run case-management intervention targeted towards frequent emergency department visitors. The aim is to reduce visits to emergency departments as well as to improve quality of life by facilitating coping mechanisms as well as redirecting these patients to more suitable health care facilities.
Trial information was received from ClinicalTrials.gov and was last updated in September 2015.
Information provided to ClinicalTrials.gov by Health Navigator.