Acute Myocardial Infraction or Chest Pain, Chronic Obstructive Pulmonary Disease (COPD), Congestive Heart Failure (CHF), Diabetes, Pneumonia
Conditions
Brief summary
In this study, patients will be prospectively enrolled for data collection to design prediction models that integrate claims data (inpatient, outpatient, and pharmacy), electronic health record data (on clinical, social, and behavioral indicators), and patient-generated activity data. Patients will be randomized to use either a smartphone or a wearable activity tracking device to capture patient-generated health data.
Detailed description
Many hospital readmissions could be prevented if higher risk patients were identified and effective interventions then targeted towards these individuals. However, most existing claims-based predictive models perform poorly and do not provide timely and actionable information. In this study, researchers will prospectively enroll patients for data collection to design prediction models that integrate claims data (inpatient, outpatient, and pharmacy), electronic health record data (on clinical, social, and behavioral indicators), and use wearable devices or smartphones to collect patient-generated data (physical activity and sleep patterns). Patients will be randomized to use either a smartphone or a wearable activity tracking device to capture patient-generated health data.
Interventions
None listed
Sponsors
University of Pennsylvania
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Be 18 years or older 2. Be able to provide informed consent 3. Be admitted to the Hospital of the University of Pennsylvania or Penn Presbyterian Medical Center 4. Have a smartphone or tablet compatible with activity tracking devices 5. Plan to be discharged to home
Exclusion criteria
Have no medical condition which prohibits them from ambulating or plan for any medical procedure over the next 6 months that would prohibit them from ambulating.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospital readmission within 30 days of discharge | 30 days | Patient readmission within 30 days of initial discharge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The secondary outcome measures include re-hospitalization within 90 days of discharge. | 90 days | Patient readmission within 90 days of initial discharge |
| Re-hospitalization within 6 months of discharge | 6 months | Patient readmission within 6 months of initial discharge |
| Emergency department visits within 6 months of discharge | 6 months | Patient visit to the emergency department within 6 months of initial discharge |
| Total health care cost utilization in 6 months after discharge | 6 months | The cost of health care services for patient within 6 months of initial discharge |
Countries
United States
Outcome results
None listed