Early primary care follow-up after geriatric ward discharge and rehospitalization risk
Association Between Early Consultation by the Primary Care Physician After Hospitalization in Geriatric Medicine Department, and the Risk of Re-hospitalization at 1 and 3 Months
This will see if having your primary care doctor visit you soon after leaving a geriatric ward reduces the chance of rehospitalization at 1 and 3 months for people aged 75 and older discharged home.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 301 (estimated) |
| Ages | 75 Years and up |
| Sex | All |
| Sponsor | Groupe Hospitalier Mutualiste de Grenoble Academic / other |
| Locations | 3 sites (Grenoble, Isere and 2 other locations) |
| Trial ID | NCT07056153 on ClinicalTrials.gov |
What this trial studies
This observational study examines whether an early primary care physician consultation after discharge from geriatric medicine wards is associated with lower rehospitalization rates at 1 and 3 months. The analysis will include patients aged 75 and older discharged home from geriatric departments at three participating hospitals in Grenoble, Voiron, and Chambéry, excluding those living in institutions or without a primary care physician. Researchers will collect timing of post-discharge PCP visits, baseline clinical and social risk factors, and record readmissions within 30 and 90 days, and use statistical models to adjust for comorbidities and other confounders. The goal is to identify whether early follow-up by a primary care physician is linked to fewer avoidable readmissions in a frail elderly population.
Who should consider this trial
Good fit: Ideal candidates are adults aged 75 or older who are hospitalized in a participating geriatric department and discharged home with an identified primary care physician and who do not object to participation.
Not a fit: People discharged to nursing homes or other institutions, or those without a primary care physician, are not eligible and unlikely to benefit from the approach studied.
Why it matters
Potential benefit: If successful, this could show that prompt primary care follow-up reduces early rehospitalization, improving outcomes and lowering healthcare costs for older patients.
How similar studies have performed: Previous programs and observational studies have suggested that timely post-discharge follow-up can reduce 30-day readmissions in some settings, though results have varied by population and intervention intensity.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age ≥ 75 years 2. Patients hospitalized in the geriatric department of one of the investigating centers 3. Patient discharged home from the geriatrics department of one of the investigating centers 4. No objection from patient or legal representative to participate in study Exclusion Criteria: 1. Patients who do not have a primary care physician 2. Patients living in an institution or transferred to an institution
Where this trial is running
Grenoble, Isere and 2 other locations
- Groupe Hospitalier Mutualiste de Grenoble — Grenoble, Isere, France (Recruiting)
- Centre Hospitalier Universitaire Grenoble Alpes Site de Voiron — Voiron, Isere, France (Not_yet_recruiting)
- Centre Hospitalier Métropole Savoie — Chambéry, Savoie, France (Not_yet_recruiting)
Study contacts
- Principal investigator: Emmanuel EJ Jarry, Dr. general medicine — Ghmg
- Study coordinator: Emmanuel EJ Jarry, Dr. general medicine
- Email: emmanuel.jarry@avec.fr
- Phone: 07 77 37 55 39
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.