UPTAKE - Virtual Care: Virtual Home Hospital With Remote Monitoring to Reduce Acute Care Hospitalization
Using Personalized Risk and Digital Tools to Guide Transitions Following Acute Kidney Events - Virtual Care: Virtual Home Hospital With Remote Monitoring to Reduce Acute Care Hospitalization
University of Calgary
354 participants
Aug 10, 2024
INTERVENTIONAL
Conditions
Summary
Method: Randomized Controlled Trial Study Duration: 3 Years Study Centre(s) University of Calgary and University of Alberta Objectives: To fill care gaps by implementing strategies to reduce length of hospital stay, readmission rates, and improve long-term outcomes after Acute Kidney Injury (AKI). Number of Participants: Three Hundred and fifty four (n=354) Diagnosis and Main Inclusion Criteria: Hospitalized adults with AKI at high risk of hospital readmission or death Study Intervention: Multi-component Digital Health Solutions, including: 1. Computerized Clinical Decision Support (CDS) and 2. Virtual Care Delivered through Hospital at Home (VC) Duration of administration: Determined by the Patient's clinical team Reference therapy: Usual Care Statistical Analyses: Descriptive Analysis, Regression
Eligibility
Inclusion Criteria4
- Age ≥ 18 years old.
- AKI identified in hospital using Kidney Disease Improving Global Outcomes (KDIGO) criteria17.
- Hospitalization > 48 hours.
- LACE (L= Length patient Stay in the hospital, A= Acuity of Admission of patient in the hospital, C= Comorbidity and E= Emergency Visit.) Score 12 or higher.
Exclusion Criteria7
- Non-Alberta residents.
- Resides outside the catchment areas for the Calgary and Edmonton Virtual Home Hospital programs.
- C1 or C2 goals of care.
- Hospitalization > 30 days.
- Will be discharged to long-term care.
- Kidney failure receiving dialysis.
- Already admitted in Virtual Home Hospital Program
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Interventions
Participants will go through Virtual hospital programs following the processes established by these programs in Alberta.
Locations(2)
View Full Details on ClinicalTrials.gov
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NCT06537453