A Case Management Intervention to Prevent ER Visits in HIV-infected Persons
Case management has become an integral part of HIV care. There is little science however demonstrating its effectiveness. This is a randomized, controlled trial of a phone call intervention after an ER visit to see if this can reduce further ER visits, hospitalizations, deaths, and cost.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
- Death, hospitalizations, ER visits, LOS [ Time Frame: 1 year ] [ Designated as safety issue: No ]
- Cost [ Time Frame: 1 year ] [ Designated as safety issue: No ]
|Study Start Date:||April 2004|
|Study Completion Date:||January 2013|
|Primary Completion Date:||January 2013 (Final data collection date for primary outcome measure)|
Phone call after an ER visit.
|Behavioral: Case manager phone call after an ER visit|
No Intervention: Control
No phone call after an ER visit.
One year retrospective look at outcome measures followed by a one year trial of a phone call after each ER visit in half of the group. Outcomes measured are cost, ER visits, hospitalizations, death, length of stay. Adults only, English or Spanish, questionnaire on depression, appointments, drug use with referral to case management services, drug rehab services, or followup appointments. Time for intervention is recorded to estimate cost.
|United States, California|
|University Medical Center|
|Fresno, California, United States, 93702|
|Principal Investigator:||Roger B Mortimer, MD||UCSF-Fresno Medical Eduction Program|