Can a Rapid 2 Day Followup After Discharge From the ED Reduce Readmissions and Death for Patients 75 Years and Older?

Age Range:75 - Any
Start Date:August 2013
End Date:June 2016
Contact:John S Kizer, MD

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A Randomized Trial of the Effect of a Geriatrics Appointment Within 2-3 Days of Discharge From the Emergency Department(ED) in Reducing ED and Hospital Readmissions for Patients 75 Years of Age and Older.

Our hypothesis is that a rapid follow up for elderly patients in a Geriatric Clinic
discharged from the Emergency Department (ED) will have fewer unplanned return ED visits and
fewer unplanned hospital admissions with no attendant increase in mortality.

Patients 75 years of age and older will be randomized following discharge from the ED into
two groups. The first will receive standard post ED care. The second will receive an
appointment to our Geriatric Clinic within 2-3 days for stabilization, further treatment and
contact with the patient's primary physician to communicate the course of the patient's
illness and to schedule subsequent follow-up with the patients regular medical provider.

There will be two primary outcomes: The first will be a composite of morality and/or return
to the ED at 30 days, and the secondary primary outcome will be mortality. Economic data
regarding resource utilization by patients will also be analyzed.

Inclusion Criteria:

- All patients 75 years of age and older discharged from the ED

Exclusion Criteria:

- Younger than 75.
We found this trial at
Chapel Hill, North Carolina 27599
Chapel Hill, NC
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