Gouveia, Alexandre; Mancinetti, Marco; Genné, Daniel; Méan, Marie; John, Gregor; Bütikofer, Lukas; Aujesky, Drahomir; Schnipper, Jeffrey L; Donzé, Jacques (2023). Effectiveness of Transition Care Intervention Targeted to High-Risk Patients to Reduce Readmissions: Study Protocol for the TARGET-READ Multicenter Randomized-Controlled Trial. Healthcare, 11(6), p. 886. MDPI 10.3390/healthcare11060886
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Hospital readmissions within 30 days represent a burden for the patients and the entire health care system. Improving the care around hospital discharge period could decrease the risk of avoidable readmissions. We describe the methods of a trial that aims to evaluate the effect of a structured multimodal transitional care intervention targeted to higher-risk medical patients on 30-day unplanned readmissions and death. The TARGET-READ study is an investigator-initiated, pragmatic single-blinded randomized multicenter controlled trial with two parallel groups. We include all adult patients at risk of hospital readmission based on a simplified HOSPITAL score of ≥4 who are discharged home or nursing home after a hospital stay of one day or more in the department of medicine of the four participating hospitals. The patients randomized to the intervention group will receive a pre-discharge intervention by a study nurse with patient education, medication reconciliation, and follow-up appointment with their referring physician. They will receive short follow-up phone calls at 3 and 14 days after discharge to ensure medication adherence and follow-up by the ambulatory care physician. A blind study nurse will collect outcomes at 1 month by phone call interview. The control group will receive usual care. The TARGET-READ study aims to increase the knowledge about the efficacy of a bundled intervention aimed at reducing 30-day hospital readmission or death in higher-risk medical patients.
Item Type: |
Journal Article (Further Contribution) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Pre-clinic Human Medicine > Department of Clinical Research (DCR) 04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine |
UniBE Contributor: |
Bütikofer, Lukas (B), Aujesky, Drahomir, Donzé, Jacques |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2227-9032 |
Publisher: |
MDPI |
Funders: |
[4] Swiss National Science Foundation |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
30 Mar 2023 08:37 |
Last Modified: |
20 Feb 2024 14:15 |
Publisher DOI: |
10.3390/healthcare11060886 |
PubMed ID: |
36981543 |
Uncontrolled Keywords: |
coordination of care hospital admission hospital discharge hospital readmission medication reconciliation patient education transitional care transitions of care |
BORIS DOI: |
10.48350/181078 |
URI: |
https://boris.unibe.ch/id/eprint/181078 |
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