Trial · NCT02520661

Paramedic Coached ED Care Transitions to Help Older Adults Maintain Their Health

NCT02520661, Not applicable, Completed, University of Wisconsin, Madison; results first posted 2022-07-22

3 sourcestrials-2026-11-12-0.5.0

Cite this record

ConductScience Library. Paramedic Coached ED Care Transitions to Help Older Adults Maintain Their Health. Trials, record NCT02520661. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02520661

On this page

Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title: Paramedic Coached ED Care Transitions to Help Older Adults Maintain Their Health
NCT number: NCT02520661
Status: Completed
Phases: Not applicable
Enrollment: 1,979 participants, actual
Lead sponsor: University of Wisconsin, Madison
Conditions: Emergencies, Aging
Interventions: Care Transitions Intervention
First posted: 2015-08-13
Last updated: 2022-07-22
Results first posted: 2022-07-22

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

List	Outcome	Time frame	Description
Primary	Number of Participants Returning to the ED Within 30 Days of the Original ED Visit	30 days after emergency department discharge	The investigators included all unplanned ED use, regardless of reason, during the 30 days after discharge as abstracted from electronic medical records (with out-of-system ED use identified during participant phone surveys). The investigators constructed dichotomous variables measuring whether or not any ED visits occurred within 14 and 30 days after discharge, with the 30-day interval being the primary prespecified outcome. Control vs Intent-to-Treat vs Per Protocol population reported.
Primary	Time to Any Follow up (in Person or Phone) With PCP, Specialists, or Urgent Care	Medical records reviewed for number of participants who followed up within 7 and 30 days, augmented by participant surveys at day 4 and 30 to learn about non-University of Wisconsin hospital visits	Follow-up visits, abstracted from participant medical records, included office visits with primary or specialty providers, telephone calls, and online patient portal messaging (excluding automated reminder messages, electronic messages that did not receive a patient response, laboratory testing, and previously scheduled outpatient procedures). Outpatient follow-up was dichotomized by whether or not any contact with outpatient providers occurred within either 7 or 30 days of discharge. This approach allowed us to differentiate follow-up occurring soon after discharge (consistent with most ED discharge instructions) from less-timely contact with outpatient clinics. To conduct a preplanned subanalysis, we also categorized all follow-up as either "in-person" or "electronic." Dichotomous variables were created for each modality at each time point as well as a combined variable representing all forms of contact. Control vs Intent-To-Treat vs Per Protocol population reported.
Primary	Number of Participants With Urgent Care or Unplanned Hospitalizations Within 30 Days of ED Discharge	up to 30 days	Control vs Intent-to-Treat vs Per Protocol Population reported
Secondary	Number of Participants With Medication Changes Implemented	day 4	The investigators asked participants to self-report any medication changes (starts, stops, or modifications) they had made since discharge during the 4-day survey. They had to provide the name, classification, or purpose of each medication. Medically trained researchers compared self-reported medication changes to those listed on participants' AVS discharge instructions, excluding those with "as needed" instructions. The dichotomized variable indicates whether or not the participant reported making all recommended medication changes.
Secondary	Number of Participants Who Could Recall Any Specific Red Flag	day 4	The discharge instructions from the ED will be abstracted for key red flags. Participants will be asked to list the red flags for which they are monitoring their condition.
Secondary	Level of Participant Activation as Measured by the Perceived Health Competence Survey	30 days after emergency department discharge	Perceived Health Competence Score (PHCS) has a total possible range of scores from 8-40 where higher scores indicate a stronger perception of health competency. This is also known as the Wallston score.
Secondary	Median Cost of Healthcare Services Within 30 Days of the Original ED Visit	30 days after emergency department discharge
Other	Program Satisfaction Survey Score	day 1, day 30	Participants and Caregivers were surveyed for their satisfaction with the intervention, on a scale of 0-10 where 0 is the worst experience and 10 is the best experience.
Other	Family Caregiver Activation in Transitions (FCAT)	day 1, day 30	The Family Caregiver Activation in Transitions survey is a series of statements about challenges commonly faced by those caring for a loved one. It is scored on a 6 point likert scale for a total possible range between 10-60, where higher scores indicate fewer challenges to care.
Other	Number of Participants Who Died Within 30 Days of Discharge	up to 30 days

Source ClinicalTrials.gov

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

Type	Outcome	Time frame	Population	Units	Measured as
PRIMARY	Number of Participants Returning to the ED Within 30 Days of the Original ED Visit	30 days after emergency department discharge		Participants	COUNT_OF_PARTICIPANTS
PRIMARY	Time to Any Follow up (in Person or Phone) With PCP, Specialists, or Urgent Care	Medical records reviewed for number of participants who followed up within 7 and 30 days, augmented by participant surveys at day 4 and 30 to learn about non-University of Wisconsin hospital visits		Participants	COUNT_OF_PARTICIPANTS
PRIMARY	Number of Participants With Urgent Care or Unplanned Hospitalizations Within 30 Days of ED Discharge	up to 30 days		Participants	COUNT_OF_PARTICIPANTS
SECONDARY	Number of Participants With Medication Changes Implemented	day 4	Only participants with medication-related changes on their AVS instructions were included in this analysis	Participants	COUNT_OF_PARTICIPANTS
SECONDARY	Number of Participants Who Could Recall Any Specific Red Flag	day 4	Only patients with specific red flags listed on their discharge instructions were included in this analysis (n = 1207).	Participants	COUNT_OF_PARTICIPANTS
SECONDARY	Level of Participant Activation as Measured by the Perceived Health Competence Survey	30 days after emergency department discharge		score on a scale	MEAN
SECONDARY	Median Cost of Healthcare Services Within 30 Days of the Original ED Visit	30 days after emergency department discharge	The investigators made an informed decision not to collect cost data.
OTHER_PRE_SPECIFIED	Program Satisfaction Survey Score	day 1, day 30
OTHER_PRE_SPECIFIED	Family Caregiver Activation in Transitions (FCAT)	day 1, day 30	Investigators did not analyze the FCAT because of reliability issues with the instrument that led them to lack confidence in the instrument.
OTHER_PRE_SPECIFIED	Number of Participants Who Died Within 30 Days of Discharge	up to 30 days		Participants	COUNT_OF_PARTICIPANTS

Source ClinicalTrials.gov

Results by group43

Each measurement the trial posted, group by group, in the words and numbers it posted.

Outcome	Group	Category	Value	Units
Number of Participants Returning to the ED Within 30 Days of the Original ED Visit	Usual Care	ED revisits within 14 days	84	Participants
Number of Participants Returning to the ED Within 30 Days of the Original ED Visit	Care Transitions Intervention (ITT)	ED revisits within 14 days	69	Participants
Number of Participants Returning to the ED Within 30 Days of the Original ED Visit	Care Transitions Intervention (PP)	ED revisits within 14 days	51	Participants
Number of Participants Returning to the ED Within 30 Days of the Original ED Visit	Usual Care	ED revisits within 30 days	113	Participants
Number of Participants Returning to the ED Within 30 Days of the Original ED Visit	Care Transitions Intervention (ITT)	ED revisits within 30 days	103	Participants
Number of Participants Returning to the ED Within 30 Days of the Original ED Visit	Care Transitions Intervention (PP)	ED revisits within 30 days	81	Participants
Time to Any Follow up (in Person or Phone) With PCP, Specialists, or Urgent Care	Usual Care	All Follow-Up within 7 Days	657	Participants
Time to Any Follow up (in Person or Phone) With PCP, Specialists, or Urgent Care	Care Transitions Intervention (ITT)	All Follow-Up within 7 Days	664	Participants
Time to Any Follow up (in Person or Phone) With PCP, Specialists, or Urgent Care	Care Transitions Intervention (PP)	All Follow-Up within 7 Days	561	Participants
Time to Any Follow up (in Person or Phone) With PCP, Specialists, or Urgent Care	Usual Care	All Follow-Up within 30 Days	773	Participants

1 to 10 of 43Source ClinicalTrials.gov

See all 43 results by group

Participant flow18

How many started, completed or left each group, period by period.

Period	Milestone	Group	Participants
Overall Study	STARTED	Usual Care	992
Overall Study	STARTED	Care Transitions Intervention	987
Overall Study	Removed Following Randomization	Usual Care	124
Overall Study	Removed Following Randomization	Care Transitions Intervention	99
Overall Study	CTI Home Visit Scheduled	Usual Care	0
Overall Study	CTI Home Visit Scheduled	Care Transitions Intervention	863
Overall Study	Participants in Dataset	Usual Care	893
Overall Study	Participants in Dataset	Care Transitions Intervention	863
Overall Study	Participants Completing Home Visit	Usual Care	0
Overall Study	Participants Completing Home Visit	Care Transitions Intervention	726

1 to 10 of 18Source ClinicalTrials.gov

See all 18 participant flow

Adverse events68

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

Type	Event	Organ system	Group	Affected	At risk
other	Blood and lymphatic system disorders	Blood and lymphatic system disorders	Usual Care	1	992
other	Blood and lymphatic system disorders	Blood and lymphatic system disorders	Care Transitions Intervention	1	987
other	Cardiac Disorders	Cardiac disorders	Usual Care	13	992
other	Cardiac Disorders	Cardiac disorders	Care Transitions Intervention	7	987
other	Ear and labyrinth disorders	Ear and labyrinth disorders	Usual Care	0	992
other	Ear and labyrinth disorders	Ear and labyrinth disorders	Care Transitions Intervention	1	987
other	Endocrine Disorders	Endocrine disorders	Usual Care	0	992
other	Endocrine Disorders	Endocrine disorders	Care Transitions Intervention	2	987
other	Gastrointestinal Disorders	Gastrointestinal disorders	Usual Care	9	992
other	Gastrointestinal Disorders	Gastrointestinal disorders	Care Transitions Intervention	10	987

1 to 10 of 68Source ClinicalTrials.gov

See all 68 adverse events

Adverse event totals6

The totals the trial posted for each group.

Total	Group	Affected	At risk
Total, all-cause mortality	Usual Care	5	992
Total, all-cause mortality	Care Transitions Intervention	2	987
Total, other adverse events	Usual Care	93	992
Total, other adverse events	Care Transitions Intervention	76	987
Total, serious adverse events	Usual Care	51	992
Total, serious adverse events	Care Transitions Intervention	51	987

Source ClinicalTrials.gov

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMID	Listed as
29724172	DERIVED

Source PubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

Project	Title	Principal investigators	Organization	Funder	Fiscal years
R01AG050504	Paramedic-coached ED Care Transitions to Help Older Adults Maintain their Health	SHAH, MANISH N	UNIVERSITY OF WISCONSIN-MADISON	NATIONAL INSTITUTE ON AGING	2015 to 2019

Source NIH RePORTER

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison	Source
Care Transitions Intervention vs Usual Care: Number of Participants Who Died Within 30 Days of Discharge	Trial comparisons
Care Transitions Intervention vs Usual Care: deaths from any cause	Trial comparisons
Care Transitions Intervention vs Usual Care: serious adverse events	Trial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov: 2026-11-12; ClinicalTrials.gov
Results, from AACT: 2026-03-23; AACT
NIH grant links: 2026-11-13; NIH RePORTER

Sources 3

ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
ClinicalTrials.govNo license stated
NIH RePORTER's clinical studies and project filesPublic domain

Each source's terms

ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
ClinicalTrials.govnone stated
NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02520661

GET https://conductscience.org/api/trials/v1/NCT02520661/results?page=2

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