A Case Management Study Targeted to Reduce Health Care Utilization for Frequent Emergency Department Visitors

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT01985074

Enrollment

15000

Registered

2013-11-15

Start date

2010-07-31

Completion date

2016-12-31

Last updated

2015-09-15

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

Conditions

The Focus is to Investigate Effect of a Case Management Interventions in Frequent Visitors to Emergency Departments

Keywords

case management, disease management, emergency, department

Brief summary

The aim of the study is to determine whether a nurse-managed telephone-based case-management intervention can reduce healthcare utilization and improve self-assessed health status in frequent emergency department users.

Detailed description

The study tests a nurse-run case-management intervention targeted towards frequent emergency department visitors. The aim is to reduce visits to emergency departments as well as to improve quality of life by facilitating coping mechanisms as well as redirecting these patients to more suitable health care facilities.

Interventions

BEHAVIORALCase-management intervention

The participants in the intervention group receives a nurse-managed case-management intervention that is regularly delivered by telephone or, when necessary, in person.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Recent history of frequent visits to emergency department * Anticipated sustained high visit frequency * Living in one of five Swedish counties where trial is ongoing

Exclusion criteria

* Moribund patients * Psychosis * Severe hearing impairment or language difficulties * Other factors that may make it impossible or impractical for a patient to participate in the study

Design outcomes

Primary

Measure	Time frame
Number of hospitalizations	During first two years of follow-up
Number of outpatient visits to medical doctor	During first two years of follow-up

Secondary

Measure	Time frame
Mortality	During first two years of follow-up
Length of hospital stay	During first two years of follow-up
Total health care costs	During first two years of follow-up

Countries

Sweden

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026