Trial Review

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this information for consumers
Trial registered on ANZCTR


Registration number
ACTRN12619000070134
Ethics application status
Approved
Date submitted
27/12/2018
Date registered
18/01/2019
Date last updated
1/02/2019
Date data sharing statement initially provided
18/01/2019
Type of registration
Prospectively registered

Titles & IDs
Public title
A prospective evaluation of patient needs the day after discharge from Cabrini Emergency Department as determined by nurse telephone follow-up program
Scientific title
Description of patient needs within 48 hours of discharge from Cabrini Emergency Department as determined by nurse telephone follow-up program
Secondary ID [1] 296900 0
Nil Known
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Needs of Emergency Department Patients Post-Discharge 310901 0
Condition category
Condition code
Emergency medicine 309570 309570 0 0
Other emergency care

Intervention/exposure
Study type
Observational
Patient registry
True
Target follow-up duration
48
Target follow-up type
Hours
Description of intervention(s) / exposure
This study will observe patients who have been discharged from Cabrini's Emergency Department and are eligible for a nurse telephone follow-up call service (which occurs the day after discharge as part of standard care at Cabrini). Patients who have re-attended the emergency departments prior the call or already have a Emergency Department medical review are not eligible. Telephone calls are estimated to take 1 to 20 minutes based on patient needs and interventions required (e.g. medication/clinical advise, facilitating follow-up, patient recall).
Intervention code [1] 313217 0
Not applicable
Comparator / control treatment
No control group
Control group
Uncontrolled

Outcomes
Primary outcome [1] 318526 0
Patient needs day after discharge from Emergency Department (such as advice/clarification on diagnosis/investigations/treatment, follow-up investigations/appointments, patient recall) as recorded by nurse via existing standardised digital form on electronic whiteboard overlay system (Imatis).
Timepoint [1] 318526 0
within 48 hours of discharge from the Emergency Department
Secondary outcome [1] 365247 0
Interventions provided by nurse telephone follow-up program (such as medication/clinical advice, facilitating follow-up specialist appointments, patient recalls/reviews to hospital) as recorded by nurse via existing standardised digital form on electronic whiteboard overlay system (Imatis)
Timepoint [1] 365247 0
at time of nurse follow-up phone call (generally within 48 hours of patient's discharge from emergency department)
Secondary outcome [2] 365248 0
Successful modes of contact (voicemail, text, phone call - landline, phone call - mobile, return phone call) with patients (or carers) based on patient demographics as determined by collating demographic data on hospital database system with nurse inputted data via standardised digital form on electronic whiteboard overlay system (Imatis)
Timepoint [2] 365248 0
at time of nurse follow-up phone call (generally within 48 hours of patient's discharge from emergency department)

Eligibility
Key inclusion criteria
Patients called as part of the Emergency Department telephone follow-up program
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
Patients admitted to hospital or other Cabrini facilities within 24 hours of discharge
Patients with appointments in medical ED review clinic the following day
Patients already re-attended ED prior to telephone follow-up

Study design
Purpose
Natural history
Duration
Cross-sectional
Selection
Convenience sample
Timing
Prospective
Statistical methods / analysis

Recruitment
Recruitment status
Not yet recruiting
Date of first participant enrolment
Anticipated
1/04/2019
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
5000
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
VIC
Recruitment hospital [1] 12797 0
Cabrini Hospital - Malvern - Malvern
Recruitment postcode(s) [1] 25257 0
3144 - Malvern

Funding & Sponsors
Funding source category [1] 301469 0
Hospital
Name [1] 301469 0
Cabrini Hospital
Country [1] 301469 0
Australia
Primary sponsor type
Other Collaborative groups
Name
Telematics Trust
Address
Level 32, 360 Collins Street
Melbourne VIC 3000
Country
Australia
Secondary sponsor category [1] 301217 0
None
Name [1] 301217 0
Address [1] 301217 0
Country [1] 301217 0

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 302214 0
Cabrini Human Research Ethics Committee
Ethics committee address [1] 302214 0
Cabrini Health
181-183 Wattletree Road Malvern VIC 3144
Ethics committee country [1] 302214 0
Australia
Date submitted for ethics approval [1] 302214 0
02/01/2019
Approval date [1] 302214 0
31/01/2019
Ethics approval number [1] 302214 0
11-21-01-19

Summary
Brief summary
Most patients are discharged following a presentation to an emergency department. There is very little research regarding this heterogeneous populations’ needs post discharge. Cabrini’s nurse telephone follow-up program offers an opportunity to contact these patients, in order to better understand their concerns and provide background for future policy development.

The goal of the study is to create a better understanding of the needs of patients post-discharge from Cabrini emergency department. It is likely that the needs determined from the Cabrini population are similar to the needs of discharged patients from other EDs. It also aims to provide quantitative data on telephone follow-up program and describe the mode of successful patient contact.

This study will be a prospective, observational study, collecting data from Cabrini’s nurse telephone follow-up program over the period of 6 months. Patients are included if they are eligible for the existing program and were discharged from the emergency department within the allocated timeframe. Demographic data will be gathered from hospital’s new whiteboard platform software (Imatis) that will source its information from Patient Administrator System (PAS) and other hospital databases.

The data will be analysed and a descriptive paper submitted to various biomedical journals. This study aims to describe patients needs post-discharge from ED which may influence future policies and research about discharge safety and discharge processes. Furthermore, it may also provide some input into follow-up policies for medical administration.
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 89470 0
Dr Katie Walker
Address 89470 0
Cabrini Health
181-183 Wattletree Rd, Malvern VIC 3144
Country 89470 0
Australia
Phone 89470 0
+61 431272262
Fax 89470 0
Email 89470 0
[email protected]
Contact person for public queries
Name 89471 0
Mr David Cui
Address 89471 0
Cabrini Health
181-183 Wattletree Rd, Malvern VIC 3144
Country 89471 0
Australia
Phone 89471 0
+61 403983309
Fax 89471 0
Email 89471 0
[email protected]
Contact person for scientific queries
Name 89472 0
Mr David Cui
Address 89472 0
Cabrini Health
181-183 Wattletree Rd, Malvern VIC 3144
Country 89472 0
Australia
Phone 89472 0
+61 403983309
Fax 89472 0
Email 89472 0
[email protected]

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
No/undecided IPD sharing reason/comment
Study will be cross sectional study which will be de-identified prior to data analysis, which mean there will be no individual participant data kept


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

Documents added manually
No documents have been uploaded by study researchers.

Documents added automatically
No additional documents have been identified.