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Trial · NCT04495946

Implementation and Effectiveness of Engagement and Collaborative Management to Proactively Advance Sepsis Survivorship

NCT04495946, Not applicable, Completed, Wake Forest University Health Sciences; results first posted 2025-09-19

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Implementation and Effectiveness of Engagement and Collaborative Management to Proactively Advance Sepsis Survivorship. Trials, record NCT04495946. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04495946

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Trial

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

Title
Implementation and Effectiveness of Engagement and Collaborative Management to Proactively Advance Sepsis Survivorship
NCT number
NCT04495946
Status
Completed
Phases
Not applicable
Enrollment
3,894 participants, actual
Lead sponsor
Wake Forest University Health Sciences
Conditions
Sepsis
Interventions
Sepsis Transition and Recovery (STAR) program, Usual care
First posted
2020-08-03
Last updated
2025-09-19
Results first posted
2025-09-19

Source ClinicalTrials.gov

Registered outcomes16

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

ListOutcomeTime frameDescription
PrimaryAll-cause Mortality and Hospital Readmission Rate90 daysCombined death or unplanned hospital readmission due to any cause, assessed 90 days after the index hospital discharge
SecondaryNumber of Days Alive and Outside the Hospital90 days
The total days alive without inpatient, observation, and emergency department care utilization beginning with the day of index hospital admission and ending 90 days after discharge or on the date of death if prior to 90 days.
SecondaryAll-cause Mortality Rate90 daysPatients with date of death prior to 90 days post discharge documented in the electronic health record or in linked national death records
SecondaryAll-cause Hospital Readmission Rate90 daysAny hospital readmission, including both inpatient and observation status hospitalizations, assessed 90 days post index hospital discharge.
SecondaryNumber of Outpatient Provider Visits90 daysNumber of outpatient provider visits assessed 90 days post index hospital discharge
SecondaryNumber of Emergency Department Visits90 daysNumber of emergency department visits assessed 90 days post index hospital discharge
SecondaryCause-specific Hospital Readmission Rate90 daysAny hospital readmission due to sepsis or other infection conditions assessed 90 days post index hospital discharge
SecondaryInpatient Functional Assessment or Physical Therapy ConsultIndex hospital dischargeDocumented inpatient functional assessment or physical therapy consult completed and captured from electronic health records
SecondaryInpatient Mental Health AssessmentIndex hospital dischargeDocumented inpatient mental health assessment completed and captured from electronic health records
SecondaryCount of Participants With Support Service Referrals90 days after hospital dischargeOutpatient rehabilitation or physical, occupational, or speech therapy during follow-up

Outcomes16

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAll-cause Mortality and Hospital Readmission Rate90 daysParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Days Alive and Outside the Hospital90 daysDaysMEAN
SECONDARYAll-cause Mortality Rate90 daysParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYAll-cause Hospital Readmission Rate90 daysParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Outpatient Provider Visits90 dayscount of visitsMEAN
SECONDARYNumber of Emergency Department Visits90 dayscount of visitsMEAN
SECONDARYCause-specific Hospital Readmission Rate90 daysParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYInpatient Functional Assessment or Physical Therapy ConsultIndex hospital dischargeParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYInpatient Mental Health AssessmentIndex hospital dischargeParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCount of Participants With Support Service Referrals90 days after hospital dischargeParticipantsCOUNT_OF_PARTICIPANTS

Results by group36

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

OutcomeGroupCategoryValueSpreadUnits
All-cause Mortality and Hospital Readmission RateSepsis Transition and Recovery (STAR) Program1023Participants
All-cause Mortality and Hospital Readmission RateUsual Care684Participants
Number of Days Alive and Outside the HospitalSepsis Transition and Recovery (STAR) Program72.295% Confidence Interval 71.9 to 72.6Days
Number of Days Alive and Outside the HospitalUsual Care71.995% Confidence Interval 70.5 to 73.3Days
All-cause Mortality RateSepsis Transition and Recovery (STAR) Program367Participants
All-cause Mortality RateUsual Care292Participants
All-cause Hospital Readmission RateSepsis Transition and Recovery (STAR) Program763Participants
All-cause Hospital Readmission RateUsual Care478Participants
Number of Outpatient Provider VisitsSepsis Transition and Recovery (STAR) Program3.095% Confidence Interval 2.8 to 3.2count of visits
Number of Outpatient Provider VisitsUsual Care3.695% Confidence Interval 3.4 to 3.9count of visits

Participant flow216

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

PeriodMilestoneGroupParticipantsUnits counted
Step 1: 4m (July 2020-Oct 2020)STARTEDSequence 1: 4m Usual Care Then 32m STAR (Hospital A)98
Step 1: 4m (July 2020-Oct 2020)STARTEDSequence 2: 8m Usual Care Then 28m STAR (Hospital B)8
Step 1: 4m (July 2020-Oct 2020)STARTEDSequence 3: 12m Usual Care Then 24m STAR (Hospital C)48
Step 1: 4m (July 2020-Oct 2020)STARTEDSequence 4: 16m Usual Care Then 20m STAR (Hospital D)79
Step 1: 4m (July 2020-Oct 2020)STARTEDSequence 5: 20m Usual Care Then 16m STAR (Hospital E)88
Step 1: 4m (July 2020-Oct 2020)STARTEDSequence 6: 24m Usual Care Then 12m STAR (Hospital F)37
Step 1: 4m (July 2020-Oct 2020)STARTEDSequence 7: 28m Usual Care Then 8m STAR (Hospital G)44
Step 1: 4m (July 2020-Oct 2020)STARTEDSequence 8: 32m Usual Care Then 4m STAR (Hospital H)66
Step 1: 4m (July 2020-Oct 2020)COMPLETEDSequence 1: 4m Usual Care Then 32m STAR (Hospital A)98
Step 1: 4m (July 2020-Oct 2020)COMPLETEDSequence 2: 8m Usual Care Then 28m STAR (Hospital B)8

Adverse events2

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

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousDisease complications experienced during 90 day follow up that required rehospitalizationGeneral disordersSepsis Transition and Recovery (STAR) Program7632,122
seriousDisease complications experienced during 90 day follow up that required rehospitalizationGeneral disordersUsual Care4781,426

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySepsis Transition and Recovery (STAR) Program3672,122
Total, all-cause mortalityUsual Care2921,426
Total, other adverse eventsSepsis Transition and Recovery (STAR) Program02,122
Total, other adverse eventsUsual Care01,426
Total, serious adverse eventsSepsis Transition and Recovery (STAR) Program7632,122
Total, serious adverse eventsUsual Care4781,426

Papers17

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
15466770BACKGROUNDPubMed
18322289BACKGROUNDPubMed
20978258BACKGROUNDPubMed
22898125BACKGROUNDPubMed
23460071BACKGROUNDPubMed
24638143BACKGROUNDPubMed
25434614BACKGROUNDPubMed
25756444BACKGROUNDPubMed
26109398BACKGROUNDPubMed
26414292BACKGROUNDPubMed

1 to 10 of 17

See all 17 papers

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.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
R01NR018434A Sepsis Transition Program to Reduce Morbidity and Mortality in High Risk IndividualsKOWALKOWSKI, MARC; TAYLOR, STEPHANIE PWAKE FOREST UNIVERSITY HEALTH SCIENCESNATIONAL INSTITUTE OF NURSING RESEARCH2019 to 2023

Trial comparisons14

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

ComparisonSource
Sepsis Transition and Recovery (STAR) Program vs Usual Care: Palliative Care ConsultationTrial comparisons
Sepsis Transition and Recovery (STAR) Program vs Usual Care: All-cause Mortality and Hospital Readmission RateTrial comparisons
Sepsis Transition and Recovery (STAR) Program vs Usual Care: Count of Participants With Support Service ReferralsTrial comparisons
Sepsis Transition and Recovery (STAR) Program vs Usual Care: All-cause Hospital Readmission RateTrial comparisons
Sepsis Transition and Recovery (STAR) Program vs Usual Care: Completed Care PreferencesTrial comparisons
Sepsis Transition and Recovery (STAR) Program vs Usual Care: Inpatient Mental Health AssessmentTrial comparisons
Sepsis Transition and Recovery (STAR) Program vs Usual Care: Inpatient Functional Assessment or Physical Therapy ConsultTrial comparisons
Sepsis Transition and Recovery (STAR) Program vs Usual Care: All-cause Mortality RateTrial comparisons
Sepsis Transition and Recovery (STAR) Program vs Usual Care: Outpatient Medication ReconciliationTrial comparisons
Sepsis Transition and Recovery (STAR) Program vs Usual Care: Early Outpatient Provider Follow upTrial 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/NCT04495946

GET https://conductscience.org/api/trials/v1/NCT04495946/results?page=2