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Nurse bridge program aims to keep seniors out of hospital

NCT ID NCT02421133

Knowledge-focused Sponsor: Hospices Civils de Lyon Source: ClinicalTrials.gov ↗

What the study statuses mean

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Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tested a transitional care program for patients aged 75 and older leaving the hospital. A nurse created a care plan, contacted their primary doctor, and arranged a follow-up visit. The goal was to see if this reduces unplanned hospital readmissions or emergency visits within 30 days. 630 patients took part across several hospitals.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
transitional care program
What this could lead to
If successful, this program could reduce avoidable hospital readmissions in older adults, improving their recovery at home.
What could go wrong
This is a completed study, so results are available but may not apply to all hospitals or patients. The intervention is complex and may be hard to replicate widely.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

630 people

The number who actually took part.

Start date

Jul 2015

Finished

Nov 2016

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

75 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Patient hospitalized for 48 hours or more in one of the acute geriatric service participating to the study. * Aged 75 or older. * Leaving at home and with home as the planned discharge after the admission. * At risk of hospital readmission emergency visit rates after discharge (if he has two or more of the following criteria (taken from the Triage Risk Screening Tool and from the 2013 French recommendation)). Exclusion Criteria: * Patient leaving in a retirement home. * Patient hospitalized at home. * Patient leaving at home but at 30 km (18 miles) or more from the service of his index admission

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As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Geriatrics

Contacts and locations

Locations

  • CH Bourg-en-Bresse

    Bourg-en-Bresse, 01012, France

  • CH Gériatrique des Monts d'Or

    Albigny-sur-Saône, 69250, France

  • CH Saint-Chamond

    Saint-Chamond, 42400, France

  • CH Villefranche

    Villefranche, 69655, France

  • CHG Annecy

    Pringy, 74374, France

  • Centre Hospitalier Alpes Léman

    Contamine-sur-Arve, 74130, France

  • Centre Hospitalier Lyon Sud

    Pierre-Bénite, 69495, France

  • Clinique des portes du sud

    Vénissieux, 69200, France

  • Hôpital Édouard Herriot

    Lyon, 69437, France

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