Evidence map›Paper›PMID 41862957›Full record

ArticleTrials2026

Hospital@Home: improving discharge management and reducing the risk of rehospitalizations in multimorbid Patients - Protocol for a randomized clinical trial.

Fabian Brennecke, Seraina Neurauter, Manuela Werner, Sabrina Hardmeier, Beatrice Bäbler, Jonas Rutishauser, Lisa Alfare, Kelly Reeve, Michael Prummer, Florence Ballmer and 4 more

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Fabian Brennecke *Department of Internal Medicine, Kantonsspital Baden, Baden, Switzerland. f.brennecke@gmx.ch.ORCID http://orcid.org/0000-0003-0744-8169
Seraina Neurauter *Department of Internal Medicine, Kantonsspital Baden, Baden, Switzerland.
Manuela WernerDepartment of Internal Medicine, Kantonsspital Baden, Baden, Switzerland.
Sabrina HardmeierDepartment of Internal Medicine, Kantonsspital Baden, Baden, Switzerland.
Beatrice BäblerDepartment of Nursing, Kantonsspital Baden, Baden, Switzerland.
Jonas RutishauserDepartment of Internal Medicine, Kantonsspital Baden, Baden, Switzerland.
Lisa AlfareDepartment of Internal Medicine, Kantonsspital Baden, Baden, Switzerland.
Kelly ReeveETH Zürich, NEXUS Personalized Health Technologies, and Swiss Institute for Bioinformatics, Schlieren, Switzerland.
Michael PrummerETH Zürich, NEXUS Personalized Health Technologies, and Swiss Institute for Bioinformatics, Schlieren, Switzerland.
Florence BallmerDepartment of Internal Medicine, Kantonsspital Baden, Baden, Switzerland.
Valentina GarzettiDepartment of Internal Medicine, Kantonsspital Baden, Baden, Switzerland.
Jürg H BeerDepartment of Internal Medicine, Kantonsspital Baden, Baden, Switzerland.
Stefanie Brown *Department of Internal Medicine, Kantonsspital Baden, Baden, Switzerland.
Maria M Wertli *Department of Internal Medicine, Kantonsspital Baden, Baden, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospital rehospitalizations within 30 days represent a burden for patients and the healthcare system. Improving the care during the hospital discharge period could decrease the risk of avoidable rehospitalizations.

aimTo describe the methods of our trial aiming to define the efficacy of a tailored transition program in patients with high risk for rehospitalization compared to the usual discharge procedure with the endpoint of 30 day rehospitalization rate.

methodsPragmatic, randomized, open-label, single-center superiority trial with a follow-up of 30 days. Included are adult patients hospitalized in an acute internal medicine department who are planned to be discharged home with a high estimated risk (20% or more) of 30-day rehospitalization. Patients in the intervention group will receive individualized and coordinated discharge management by an interdisciplinary team, compared to usual care in the control group. The multimodal intervention includes individualized pre-discharge, bridging, and post-discharge intervention components. ETHICS AND DISSEMINATION: Before enrolling the first patient, the trial was prospectively registered at the ISRCTN registry (registration date April 4th 2023) under the number ISRCTN11162162 and was approved by the ethical committee (Ethikkommission Nordwest- und Zentralschweiz (EKNZ), ID 2022-01040).

conclusionThis trial aims to assess the efficacy of a well-defined multicomponent discharge intervention to reduce unplanned rehospitalization rates in high-risk patients.

Indexed as

Patient DischargePatient ReadmissionEquivalence Trials as TopicHumansMultimorbidityPatient Care TeamPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeHospitalizationHospital to Home TransitionInternal MedicineMultimorbidity

Identifiers

PMID41862957
PMCPMC13126973

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.