Comment Period Extended to 3/23/2015 for Notice of Proposed Rulemaking (NPRM) for FDAAA 801 and NIH Draft Reporting Policy for NIH-Funded Trials

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This study has been withdrawn prior to enrollment.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)
Information provided by:
Maimonides Medical Center Identifier:
First received: January 11, 2006
Last updated: October 14, 2011
Last verified: October 2011

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.

Coronary Artery Disease
Diabetes Mellitus

Study Type: Observational

Further study details as provided by Maimonides Medical Center:

Study Start Date: October 2006

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Both
Sampling Method:   Non-Probability Sample
Study Population

Although IRB approval was received, study was not initiated.


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.)

  Contacts and Locations
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Please refer to this study by its identifier: NCT00276367

Sponsors and Collaborators
Maimonides Medical Center
Principal Investigator: Aleksandra Zagorin, MA, GNP-C, ANP-C Maimonides Medical Center
  More Information

No publications provided Identifier: NCT00276367     History of Changes
Other Study ID Numbers: 05/12/02
Study First Received: January 11, 2006
Last Updated: October 14, 2011
Health Authority: United States: Institutional Review Board

Additional relevant MeSH terms:
Coronary Artery Disease
Arterial Occlusive Diseases
Cardiovascular Diseases
Coronary Disease
Heart Diseases
Myocardial Ischemia
Vascular Diseases processed this record on March 03, 2015