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Effectiveness of Transition Care Intervention Targeted to High-Risk Patients to Reduce Readmissions: Study Protocol for the TARGET-READ Multicenter Randomized-Controlled Trial

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 multi...

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Autores principales: Gouveia, Alexandre, Mancinetti, Marco, Genné, Daniel, Méan, Marie, John, Gregor, Bütikofer, Lukas, Aujesky, Drahomir, Schnipper, Jeffrey L., Donzé, Jacques
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10048511/
https://www.ncbi.nlm.nih.gov/pubmed/36981543
http://dx.doi.org/10.3390/healthcare11060886
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author Gouveia, Alexandre
Mancinetti, Marco
Genné, Daniel
Méan, Marie
John, Gregor
Bütikofer, Lukas
Aujesky, Drahomir
Schnipper, Jeffrey L.
Donzé, Jacques
author_facet Gouveia, Alexandre
Mancinetti, Marco
Genné, Daniel
Méan, Marie
John, Gregor
Bütikofer, Lukas
Aujesky, Drahomir
Schnipper, Jeffrey L.
Donzé, Jacques
author_sort Gouveia, Alexandre
collection PubMed
description 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.
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spelling pubmed-100485112023-03-29 Effectiveness of Transition Care Intervention Targeted to High-Risk Patients to Reduce Readmissions: Study Protocol for the TARGET-READ Multicenter Randomized-Controlled Trial Gouveia, Alexandre Mancinetti, Marco Genné, Daniel Méan, Marie John, Gregor Bütikofer, Lukas Aujesky, Drahomir Schnipper, Jeffrey L. Donzé, Jacques Healthcare (Basel) Protocol 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. MDPI 2023-03-18 /pmc/articles/PMC10048511/ /pubmed/36981543 http://dx.doi.org/10.3390/healthcare11060886 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Protocol
Gouveia, Alexandre
Mancinetti, Marco
Genné, Daniel
Méan, Marie
John, Gregor
Bütikofer, Lukas
Aujesky, Drahomir
Schnipper, Jeffrey L.
Donzé, Jacques
Effectiveness of Transition Care Intervention Targeted to High-Risk Patients to Reduce Readmissions: Study Protocol for the TARGET-READ Multicenter Randomized-Controlled Trial
title Effectiveness of Transition Care Intervention Targeted to High-Risk Patients to Reduce Readmissions: Study Protocol for the TARGET-READ Multicenter Randomized-Controlled Trial
title_full Effectiveness of Transition Care Intervention Targeted to High-Risk Patients to Reduce Readmissions: Study Protocol for the TARGET-READ Multicenter Randomized-Controlled Trial
title_fullStr Effectiveness of Transition Care Intervention Targeted to High-Risk Patients to Reduce Readmissions: Study Protocol for the TARGET-READ Multicenter Randomized-Controlled Trial
title_full_unstemmed Effectiveness of Transition Care Intervention Targeted to High-Risk Patients to Reduce Readmissions: Study Protocol for the TARGET-READ Multicenter Randomized-Controlled Trial
title_short Effectiveness of Transition Care Intervention Targeted to High-Risk Patients to Reduce Readmissions: Study Protocol for the TARGET-READ Multicenter Randomized-Controlled Trial
title_sort effectiveness of transition care intervention targeted to high-risk patients to reduce readmissions: study protocol for the target-read multicenter randomized-controlled trial
topic Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10048511/
https://www.ncbi.nlm.nih.gov/pubmed/36981543
http://dx.doi.org/10.3390/healthcare11060886
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