ArticleInternational journal of integrated care
Transitional care for the highest risk patients: findings of a randomised control study.
Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02325752 (A Prospective Randomised Control Trial to Study the Effectiveness of a Health Service Innovation Using a Modified Virtual Ward Model to Prevent Unscheduled Readmission of High Risk Patients), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.
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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.
A Prospective Randomised Control Trial to Study the Effectiveness of a Health Service Innovation Using a Modified Virtual Ward Model to Prevent Unscheduled Readmission of High Risk Patients
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Comparison of Mortality and Hospital Readmissions Among Patients Receiving Virtual Ward Transitional Care vs Usual Postdischarge Care: A Systematic Review and Meta-analysis.JAMA network open · 2022Pooled it
- Supporting medicines management for older people at care transitions - a theory-based analysis of a systematic review of 24 interventions.BMC health services research · 2021Pooled it
- Successful care transitions for older people: a systematic review and meta-analysis of the effects of interventions that support medication continuity.Age and ageing · 2020Pooled it
- Trial
- Transitional Care Program in Reducing Acute Hospital Utilization in Singapore.Healthcare (Basel, Switzerland) · 2024Article
- Virtual wards for people with frailty: what works, for whom, how and why-a rapid realist review.Age and ageing · 2024Review
- Identifying Key Themes of Care Coordination for Patients with Chronic Conditions in Singapore: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- The effectiveness of intermediate care including transitional care interventions on function, healthcare utilisation and costs: a scoping review.European geriatric medicine · 2020Article
- The Role of the Nurse in the Management of Medicines During Transitional Care: A Systematic Review.Journal of multidisciplinary healthcare · 2020Review
- The heterogeneous health state profiles of high-risk healthcare utilizers and their longitudinal hospital readmission and mortality patterns.BMC health services research · 2019Article
- What do caregivers value and is there agreement in perception of met needs between nurses and caregivers?Singapore medical journal · 2019Article
- Retrospective evaluation of healthcare utilisation and mortality of two post-discharge care programmes in Singapore.BMJ open · 2019Article
- Implementation fidelity of a strategy to integrate service delivery: learnings from a transitional care program for individuals with complex needs in Singapore.BMC health services research · 2019Article
- National trends in emergency readmission rates: a longitudinal analysis of administrative data for England between 2006 and 2016.BMJ open · 2018Article
- Evaluation of a practical expert defined approach to patient population segmentation: a case study in Singapore.BMC health services research · 2017Article
- Observational
- Reductions in Readmission Rates Are Associated With Modest Improvements in Patient-reported Health Gains Following Hip and Knee Replacement in England.Medical care · 2017Article
- Transitional Home Care Program Utilizing the Integrated Practice Unit Concept (THC-IPU): Effectiveness in Improving Acute Hospital Utilization.International journal of integrated care · 2017Article
- Performance of the LACE index to identify elderly patients at high risk for hospital readmission in Singapore.Medicine · 2017Observational
- FAM-FACE-SG: a score for risk stratification of frequent hospital admitters.BMC medical informatics and decision making · 2017Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInterventions to prevent readmissions of patients at highest risk have not been rigorously evaluated. We conducted a randomised controlled trial to determine if a post-discharge transitional care programme can reduce readmissions of such patients in Singapore.
methodsWe randomised 840 patients with two or more unscheduled readmissions in the prior 90 days and Length of stay, Acuity of admission, Comorbidity of patient, Emergency department utilisation score ≥10 to the intervention programme (n = 419) or control (n = 421). Patients allocated to the intervention group received post-discharge surveillance by a multidisciplinary integrated care team and early review in the clinic. The primary outcome was the proportion of patients with at least one unscheduled readmission within 30 days after discharge.
resultsWe found no statistically significant reduction in readmissions or emergency department visits in patients on the intervention group compared to usual care. However, patients in the intervention group reported greater patient satisfaction (p < 0.001).
conclusionAny beneficial effect of interventions initiated after discharge is small for high-risk patients with multiple comorbidity and complex care needs. Future transitional care interventions should focus on providing the entire cycle of care for such patients starting from time of admission to final transition to the primary care setting.
trial registrationClinicaltrials.gov, no NCT02325752.
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