en
Scientific article
Open access
English

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

Published inHealthcare, vol. 11, no. 6, 886
Publication date2023-03-18
First online date2023-03-18
Abstract

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.

eng
Keywords
  • Coordination of care
  • Hospital admission
  • Hospital discharge
  • Hospital readmission
  • Medication reconciliation
  • Patient education
  • Transitional care
  • Transitions of care
Citation (ISO format)
GOUVEIA, Alexandre et al. Effectiveness of Transition Care Intervention Targeted to High-Risk Patients to Reduce Readmissions: Study Protocol for the TARGET-READ Multicenter Randomized-Controlled Trial. In: Healthcare, 2023, vol. 11, n° 6, p. 886. doi: 10.3390/healthcare11060886
Main files (1)
Article (Published version)
Secondary files (1)
Identifiers
ISSN of the journal2227-9032
23views
5downloads

Technical informations

Creation06/01/2023 11:49:16 AM
First validation11/20/2023 2:15:58 PM
Update time11/20/2023 2:15:58 PM
Status update11/20/2023 2:15:58 PM
Last indexation05/06/2024 5:25:23 PM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack