NCT03224130: Supplement

Supplement to Hospital to Home Outcomes

Completed NA Results posted Last updated 16 April 2019

What this trial tests

NA trial testing Nurse Phone Call in Hospitalized Patients in 966 participants. Completed in 30 June 2017.

Timeline

11 May 2016

Primary endpoint
30 June 2017

30 June 2017

Quick facts

Lead sponsor	Children's Hospital Medical Center, Cincinnati
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	single
Primary purpose	health services research
Enrollment	966
Start date	11 May 2016
Primary completion	30 June 2017
Estimated completion	30 June 2017
Sites	1 location across United States

Drugs / interventions tested

• Nurse Phone Call
• Standard of Care

Conditions studied

• Hospitalized Patients — all drugs for Hospitalized Patients →

Sponsor

Children's Hospital Medical Center, Cincinnati

Who can join

Under 18, any sex, with Hospitalized Patients. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Any Occurrence of Unplanned Re-hospitalization and/or Any Emergency/Urgent Care Visits Within 30 Days of Hospital Discharge Primary · 30 days post-discharge

The dependent variable will be a dichotomized indicator of any occurrence of unplanned rehospitalization, ED or urgent care visit within 30-days post-discharge (i.e. unplanned reutilization). Differences in this outcome between intervention and control groups will be evaluated using logistic regression with the stratification variables (neighborhood poverty and state)

Group	Value	95% CI
Nurse Phone Call	77
Standard of Care	63

Post-Discharge Coping Scale Secondary · 14 days post-discharge

Post-Discharge Difficulty Coping Scale (Weiss, et. al): measured at 14 day post-discharge phone call. Post-Discharge Coping Difficulty Scale uses an 11 point scaling format (0-10) with total scores ranging from 0 to 100. Higher scores represent greater coping difficulty. Differences between intervention and control groups on this outcome at 14-day post-discharge are evaluated using a linear regression model with the stratification variables (census tract poverty and state of residence).

Group	Value	95% CI
Nurse Phone Call	14.3	12.8 – 15.8
Standard of Care	15.2	13.7 – 16.7

Number of Days Until Normalcy Secondary · 14 days post-discharge

Number of days until normalcy: measured at post discharge phone call. Parents asked to recall the number of days it took to "return to a 'normal' routine" including the return to work and school (with option of not yet be back to normal).

Group	Value	95% CI
Nurse Phone Call	3.9	3.5 – 4.2
Standard of Care	4.2	3.8 – 4.6

Red Flags Remembered Secondary · 14 days post-discharge

This was measured at the 14 day post-discharge phone call survey. Parents were asked to recall "any red flags or warning signs" to indicate the "child's condition was getting worse." The number of red flags recalled could range from 0-10 depending on the template used. The template was a home visit guideline for nurses to use that was specific to the child's illness. For example, if the child had bronchiolitis the nurse would use the template "bronchiolitis/croup/pneumonia" to guide them through the visit. Higher values (i.e., the greater number of red flags remembered) represent a better outc

Group	Value	95% CI
Nurse Phone Call	1.8	1.7 – 2.0
Standard of Care	1.5	1.4 – 1.6

Number of Participants With Occurrence(s) of an Unplanned Readmission Within 30 Days Post-discharge Secondary · 30 days

Occurrence(s) of an unplanned readmission within 30 days post-discharge.

Group	Value	95% CI
Nurse Phone Call	32
Standard of Care	27

Number of Participants With Occurrence(s) of an Emergency Department Visit Within 30 Days Post-discharge Secondary · 30 days

Occurence(s) of an ED visit within 30 days post-discharge

Group	Value	95% CI
Nurse Phone Call	35
Standard of Care	35

Number of Participants With Occurrence(s) of 14-day Unplanned Healthcare Utilization Secondary · 14 days post-discharge

Occurrence(s) of 14-day unplanned healthcare utilization defined by unplanned re-hospitalization and/or any emergency/urgent care visit within 14 days or parent report of an unplanned visit to one of these places. Parent report is collected at the 14 day follow-up phone call.

Group	Value	95% CI
Nurse Phone Call	71
Standard of Care	72

Sponsor's own description

Post-discharge nurse phone call

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.