FindTrial
Sign In

Design and Application Research of Differentiated Follow-up Programs for Discharged Patients Based on Risk Stratification

Design and Application Research of Differentiated Follow-up Programs for Discharged Patients Based on Risk Stratification

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2600123953
Enrollment
Unknown
Registered
2026-05-04
Start date
2027-01-01
Completion date
Unknown
Last updated
2026-05-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

COPD

Interventions

Conventional Follow-up Group:Conventional follow-up (no specific intervention)
Risk-stratified Differentiated Follow-up Group:Risk-stratified differentiated follow-up based on risk stratification model (high risk: phone call + home visit
medium risk: remote video
low risk: SMS reminder)

Sponsors

Xiamen Hong 'ai Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Age >= 18 years; 2. Patients discharged from the Department of Respiratory Medicine, Neurology, Orthopedics, or Thyroid and Breast Surgery; 3. Complete clinical data available for risk stratification; 4. Willing to participate and provide informed consent;

Exclusion criteria

Exclusion criteria: 1. Unable to complete follow-up (e.g., no contact information, refusal); 2. Life-threatening comorbidities (e.g., terminal cancer, multiple organ failure); 3. Pregnant or lactating women; 4. Participate in other clinical trials that may interfere with this study.

Design outcomes

Primary

MeasureTime frame
Rehospitalization rate;—

Secondary

MeasureTime frame
Incidence of complications, medication adherence, patient satisfaction;—

Countries

China

Contacts

Public ContactJing Chao

Xiamen Hong 'ai Hospital

jingch@haxm.org+86 592 5261073

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: May 16, 2026