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Trial from ANZCTR

Care coordination through Emergency Department, Residential Aged Care and Primary Health Collaboration: effect on Hospital and ED admission, Length of stay, cost effectiveness, service delivery and patient satisfaction.

  • Recruitment status at the time of last update
    Completed
  • What is the status of the ethics application?
    Ethics status: Approved
  • Prospective – trial registered prior to recruitment of first participant.

    Retrospective – trial registered after recruitment of first participant.
    Retrospectively registered
  • Has the trial been updated in the last 12 months?
    Up to date
    (Last updated: 1/11/2017)
  • Ethics status: Approved
    What is the status of the ethics application?
  • Up to date
    Has the trial been updated in the last 6 months?
Key trial Information

Trial ID

ACTRN12615001157561

Date registered

29 October 2015

Health condition

Chronic disease, Acute illness

Recruitment countries

Australia

Recruitment site location(s) (State)

Queensland

Recruitment status

Completed

Anticipated date of first participant enrolment

n/a

Ethics application status

Approved

Brief summary

CEDRiC (Care coordination through Emergency Department, Residential Aged Care and PrImary Health Collaboration) is an innovative model of service delivery which aims to reduce RACF resident trauma and distress by reducing inappropriate transfer to the hospital emergency department (ED) and to maximise the care and efficiency of care where transfer to ED is appropriate.
CEDRiC has two interconnecting components:
(i) the Health Intervention Program for Senior (HIPS) the provision of proactive care in the Residential Aged Care Facility (RACF) via a Nurse Practitioner Candidate (NPC) working closely with GPs and RACF staff; and
(ii) Geriatric Emergency Department Intervention (GEDI) program advanced practice nurses in the ED who case manage older adults in the ED.
The aim of this trial is to determine the effect of the intervention via the outcomes. The trial aims to:
1. Determine ED re-presentation rates up to 72 hours and 28 days for patient cohort seen by GEDI nurses compared with this not seen by GEDI nurses
2. Determine number of RACF transfers avoided via NPC model of care
3. Determine cost effectiveness and sustainability of the GEDI and NPC model of care
4. Measure the ED length of stay on patient cohort seen by GEDI nurses compared with this not seen by GEDI nurses
5. Measure the number of hospital admissions on patient cohort seen by GEDI nurses compared with this not seen by GEDI nurses

Group matching will be undertaken from hospital data for the 12 months prior to implementation of interventions.

Eligibility

Key inclusion criteria

Arm 1: People aged 70 years or older who present to participating hospital ED.
Arm 2: RACF residents

Minimum age

70 Years

Maximum age

No limit

Gender

Both males and females

Key exclusion criteria

Arm 1: People younger than 70 years who present to participating hospital ED.

Contact details and further information

Primary Sponsor

Type: University
Name: University of the Sunshine Coast
Address: 90 Sippy Downs Drive, Sippy Downs QLD 4556, Australia
Country: Australia

Contact person for information and recruitment

Dr Alison Craswell
University of the Sunshine Coast
School of Nursing, Midwifery and Paramedicine
Locked Bag 4
MAROOCHYDORE DC QLD 4558

Australia
61 7 5456 3453
acraswel@usc.edu.au