Evidence map›Paper›PMID 25386678›Full record

Trial reportPloS one2014

Do post discharge phone calls improve care transitions? A cluster-randomized trial.

Christine Soong, Bochra Kurabi, David Wells, Lesley Caines, Matthew W Morgan, Rebecca Ramsden, Chaim M Bell

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01580774 (Effect of Post-discharge Phone Calls on Patient Outcomes for General Internal Medicine Patients Discharged From a Teaching Hospital.), which is not on this map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT01580774 completednot on this map

Effect of Post-discharge Phone Calls on Patient Outcomes for General Internal Medicine Patients Discharged From a Teaching Hospital.

TypeobservationalSponsorMount Sinai Hospital, CanadaRan2012 to 2013Enrolled334ConditionsTransition
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Factors Driving Patient Perception of Quality Care After Primary Total Hip and Total Knee Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2018
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Christine SoongDivision of General Internal Medicine, University of Toronto, Toronto, Canada; Department of Medicine, Mount Sinai Hospital, Toronto, Canada.
Bochra KurabiDivision of General Internal Medicine, University of Toronto, Toronto, Canada.
David WellsDepartment of Medicine, Mount Sinai Hospital, Toronto, Canada.
Lesley CainesDepartment of Medicine, Mount Sinai Hospital, Toronto, Canada.
Matthew W MorganDivision of General Internal Medicine, University of Toronto, Toronto, Canada; Department of Medicine, Mount Sinai Hospital, Toronto, Canada.
Rebecca RamsdenDepartment of Medicine, Mount Sinai Hospital, Toronto, Canada.
Chaim M BellDivision of General Internal Medicine, University of Toronto, Toronto, Canada; Department of Medicine, Mount Sinai Hospital, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceThe transition from hospital to home can expose patients to adverse events during the post discharge period. Post discharge care including phone calls may provide support for patients returning home but the impact on care transitions is unknown.

objectiveTo examine the effect of a 72-hour post discharge phone call on the patient's transition of care experience.

designCluster-randomized control trial.

settingUrban, academic medical center.

participantsGeneral medical patients age 18 and older discharged home after hospitalization. MAIN OUTCOMES AND MEASURES: Primary outcome measure was the Care Transition Measure (CTM-3) score, a validated measure of the quality of care transitions. Secondary measures included self-reported adherence to medication and follow up plans, and 30-day composite of emergency department (ED) visits and hospital readmission.

results328 patients were included in the study over an 6-month period. 114 (69%) received a post discharge phone call, and 214 of all patients in the study completed the follow outcome survey (65% response rate). A small difference in CTM-3 scores was observed between the intervention and control groups (1.87 points, 95% CI 0.47-3.27, p = 0.01). Self-reported adherence to treatment plans, ED visits, and emergency readmission rates were similar between the two groups (odds ratio 0.57, 95% CI 0.13-2.45, 1.20, 95% CI 0.61-2.37, and 1.18, 95% CI 0.53-2.61, respectively). CONCLUSIONS AND RELEVANCE: A single post discharge phone call had a small impact on the quality of care transitions and no effect on hospital utilization. Higher intensity post discharge support may be required to improve the patient experience upon returning home.

trial registrationClinicalTrials.gov NCT01580774.

Indexed as

Continuity of Patient CarePatient DischargePatient SatisfactionAdolescentAdultAftercareAgedAged, 80 and overFemaleHumansMaleMedication AdherenceMiddle AgedTelephoneYoung Adult

Identifiers

PMID25386678
PMCPMC4227814

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.