Clinical trial NCT02117804: Early Screen for Discharge Planning in Community Hospitals
Official title: Validating Discharge Planning Decision Support in a Regional Community Hospital
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Hospitalization
Keywords: Discharge Planning
Decision Support
Lead sponsor: Mayo Clinic
Sponsor class: OTHER
Collaborators: name: Agency for Healthcare Research and Quality (AHRQ)
First posted: 2014-04-21
Enrollment: 225
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The study targets adults hospitalized for a variety of medical and surgical conditions in a rural regional community hospital that is part of a large health system in the Midwest. The sample will be limited to adults who are returning home in the community, because the investigators are primarily interested in the problems and unmet needs encountered after discharge during the recovery period at home. To enhance the generalizability of the results, the sample will be stratified based on 2010 national estimates of age categories for hospitalized adults.

Brief summary: The purpose of this study is to determine the predictive performance of the Early Screen for Discharge Planning (ESDP) tool in a regional community hospital. The central hypothesis is that the ESDP differentiates between patients in a regional community hospital who would benefit from those who would not benefit from early discharge-planning intervention as measured by problems and unmet continuing care needs, quality of life, length of stay, and referrals to post-acute services.

Detailed description: Patients who are hospitalized for medical or surgical reasons who consent to the study will be screened within 24 hours of hospital admission using the Early Screen for Discharge Planning (ESDP). The ESDP is a four-item screening tool used to determine on admission which patients are likely to have complex discharge plans and could benefit from early engagement of discharge planning personnel. The ESDP yields a total score, and those with a score of 10 or greater are considered to have a "high score" and likely to have a complex discharge plan. Those with a score of 9 or below have a "low score". The ESDP screen has been proven to be valid in large academic medical centers. This study will determine if the screen performs with the same validity in a small community hospital.

Eligibility criteria: Inclusion Criteria:

* 18 years or older
* Able to read and speak English
* Returning home in the community after discharge

Exclusion Criteria:

* Discharged to facility care
* Pregnant females

Primary outcomes:
measure: Number of problems reported after discharge, measured by the Problems After Discharge Questionnaire - English Version (PADQ-E)
timeFrame: 1 week after hospital discharge
Secondary outcomes:
measure: Number of unmet needs reported after discharge, measured by the Problems After Discharge Questionnaire - English Version (PADQ-E)
timeFrame: 1 week after hospital discharge
measure: Quality of life, measured by the EuroQoL-5D
timeFrame: 1 week after hospital discharge
Other outcomes:
Locations:
city: Eau Claire
country: United States
facility: Mayo Clinic Health System - Eau Claire
state: Wisconsin
Study officials:
affiliation: Mayo Clinic
name: Diane E. Holland, PhD, RN
role: PRINCIPAL_INVESTIGATOR
References: