Trial reportJournal of general internal medicine2014
The care transitions innovation (C-TraIn) for socioeconomically disadvantaged adults: results of a cluster randomized controlled trial.
Trial report in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Community care navigation intervention for people who are at risk of unplanned hospital presentations.The Cochrane database of systematic reviews · 2025Pooled it
- Transitional Care Interventions From Hospital to Community to Reduce Health Care Use and Improve Patient Outcomes: A Systematic Review and Network Meta-Analysis.JAMA network open · 2023Pooled it
- Discharge planning from hospital.The Cochrane database of systematic reviews · 2022Pooled it
- Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- Discharge planning from hospital.The Cochrane database of systematic reviews · 2016Pooled it
- Identifying the Optimal Role for Pharmacists in Care Transitions: A Systematic Review.Journal of managed care & specialty pharmacy · 2015Pooled it
- Impact of Referring High-Risk Patients to Intensive Outpatient Primary Care Services: A Propensity Score-Matched Analysis.Journal of general internal medicine · 2025Trial
- Randomized Trial Evaluating Health System Expenditures with Transitional Care Services for Adults with No Usual Source of Care at Discharge.Journal of general internal medicine · 2022Trial
- Effects of Accessible Health Technology and Caregiver Support Posthospitalization on 30-Day Readmission Risk: A Randomized Trial.Joint Commission journal on quality and patient safety · 2020Trial
- Effects of a Transitional Care Practice for a Vulnerable Population: a Pragmatic, Randomized Comparative Effectiveness Trial.Journal of general internal medicine · 2019Trial
- The Alice Springs Hospital Readmission Prevention Project (ASHRAPP): a randomised control trial.BMC health services research · 2017Trial
- The Effect of a Care Transition Intervention on the Patient Experience of Older Multi-Lingual Adults in the Safety Net: Results of a Randomized Controlled Trial.Journal of general internal medicine · 2015Trial
- Adapting a complex health intervention guided by the core functions and forms model: a methodology and case example of participatory adaptation.Frontiers in health services · 2026Article
- OPTIONS-DC: Treatment Course Outcomes Following Outpatient Parenteral Antimicrobial Therapy RN-Led Multidisciplinary Care Conferences for People Who Use Drugs Hospitalized With Complex Infections.Open forum infectious diseases · 2025Article
- Equity-Centered Postdischarge Support for Medicaid-Insured People: Protocol for a Type 1 Hybrid Effectiveness-Implementation Stepped Wedge Cluster Randomized Controlled Trial.JMIR research protocols · 2024Article
- Alternative Payment Models and Patient-Reported Quality of Preparation for Discharge: A Retrospective Longitudinal Study.Journal of patient experience · 2024Article
- Expanding the Team: Optimizing the Multidisciplinary Management of Drug Use-Associated Infective Endocarditis.Journal of general internal medicine · 2022Article
- What Is the Return on Investment of Caring for Complex High-need, High-cost Patients?Journal of general internal medicine · 2021Article
- Outcomes of a randomized quality improvement trial for high-risk Veterans in year two.Health services research · 2021Article
- Tools and tactics for postdischarge medication management interventions.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite growing emphasis on transitional care to reduce costs and improve quality, few studies have examined transitional care improvements in socioeconomically disadvantaged adults. It is important to consider these patients separately as many are high-utilizers, have different needs, and may have different responses to interventions.
objectiveTo evaluate the impact of a multicomponent transitional care improvement program on 30-day readmissions, emergency department (ED) use, transitional care quality, and mortality.
designClustered randomized controlled trial conducted at a single urban academic medical center in Portland, Oregon.
participantsThree hundred eighty-two hospitalized low-income adults admitted to general medicine or cardiology who were uninsured or had public insurance.
interventionMulticomponent intervention including (1) transitional nurse coaching and education, including home visits for highest risk patients; (2) pharmacy care, including provision of 30 days of medications after discharge for those without prescription drug coverage; (3) post-hospital primary care linkages; (4) systems integration and continuous quality improvement. MEASUREMENTS: Primary outcomes included 30-day inpatient readmission and ED use. Readmission data were obtained using state-wide administrative data for all participants (insured and uninsured). Secondary outcomes included quality (3-item Care Transitions Measure) and mortality. Research staff administering questionnaires and assessing outcomes were blinded.
resultsThere was no significant difference in 30-day readmission between C-TraIn (30/209, 14.4 %) and control patients (27/173, 16.1 %), p = 0.644, or in ED visits between C-TraIn (51/209, 24.4 %) and control (33/173, 19.6 %), p = 0.271. C-TraIn was associated with improved transitional care quality; 47.3 % (71/150) of C-TraIn patients reported a high quality transition compared to 30.3 % (36/119) control patients, odds ratio 2.17 (95 % CI 1.30-3.64). Zero C-TraIn patients died in the 30-day post-discharge period compared with five in the control group (unadjusted p = 0.02).
conclusionsC-TraIn did not reduce 30-day inpatient readmissions or ED use; however, it improved transitional care quality.
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