CompletedNot Applicable

Impact of a Transitional Care Program on 30-Day Hospital Readmissions for Elderly Patients Discharged From a Short Stay Geriatric Ward

France630 participantsStarted 2015-07

Plain-language summary

In France, it has be estimated that the hospital readmission rate within 30 days of patients aged 75 or older is 14% (IC95% \[12.0-16.7\]), nearly a quarter being avoidable. There is evidence that interventions "bridging" the transition from hospital to home involving a dedicated professional (usually nurses) would be most effective in reducing the risk of readmission, but the level of evidence of current studies is low. Our study aims to assess the impact of a program of transitional care from hospital to home for people of 75 years old or more admitted to acute care.

Who can participate

Age range75 Years

SexALL

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Inclusion Criteria: * Patient hospitalized for 48 hours or more in one of the acute geriatric service participating to the study. * Aged 75 or older. * Leaving at home and with home as the planned discharge after the admission. * At risk of hospital readmission emergency visit rates after discharge (if he has two or more of the following criteria (taken from the Triage Risk Screening Tool and from the 2013 French recommendation)). Exclusion Criteria: * Patient leaving in a retirement home. * Patient hospitalized at home. * Patient leaving at home but at 30 km (18 miles) or more from the service of his index admission

What they're measuring

30-Day unscheduled hospital readmission or emergency visit rate after the index hospital discharge.

Timeframe: Within 30 days after hospital discharge.

Trial details

NCT IDNCT02421133

SponsorHospices Civils de Lyon

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2016-11-30

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