The Impact of Post Discharge One-Time Home Visit: Bridging the Gap Between Hospital and Home.

This study has been withdrawn prior to enrollment.
(is involved in NIH study)
Sponsor:
Information provided by:
Maimonides Medical Center
ClinicalTrials.gov Identifier:
NCT00276367
First received: January 11, 2006
Last updated: October 14, 2011
Last verified: October 2011

January 11, 2006
October 14, 2011
October 2006
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Complete list of historical versions of study NCT00276367 on ClinicalTrials.gov Archive Site
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The Impact of Post Discharge One-Time Home Visit: Bridging the Gap Between Hospital and Home.
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A single post-hospital discharge home visit by a geriatric nurse practitioner or geriatric fellow can bridge the gap and ease the transition for elderly frail patients returning home after hospital admission. We believe this intervention will reduce medication errors, ensure follow-up discharge plans, decrease re-hospitalization rates, and decrease morbidity and mortality.

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Observational
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Non-Probability Sample

Although IRB approval was received, study was not initiated.

  • COPD
  • Coronary Artery Disease
  • Diabetes Mellitus
  • Stroke
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*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Withdrawn
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Inclusion Criteria:

Patients admitted to the ACE unit during the study time frame, age 65 and over, and residing in the community before and after discharge from the hospital. Selected patients will have complex discharge plans including referrals to home care agencies, poly-pharmacy, multiple co-morbidities, history of repeated hospitalizations, and poor social support systems in the community. In addition, eligible patients will have at least one of eight admitting diagnoses, chosen for their high likelihood of requiring post-discharge home care needs. These diagnosis include: CHF, COPD, coronary artery disease, diabetes mellitus, stroke, hip fracture, peripheral vascular disease or cardiac arrhythmia. The GNP or fellow will then request permission from the patient's primary physician to do a one-time post-discharge home visit.

Exclusion Criteria:

Patients discharged to settings other than their homes (i.e. nursing home, sub-acute rehabilitation, etc.)Patients discharged to settings other than their homes (i.e. nursing home, sub-acute rehabilitation, etc.)

Both
65 Years and older
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Contact information is only displayed when the study is recruiting subjects
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NCT00276367
05/12/02
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Maimonides Medical Center
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Principal Investigator: Aleksandra Zagorin, MA, GNP-C, ANP-C Maimonides Medical Center
Maimonides Medical Center
October 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP