Ignite Creation Date:
2024-10-26 @ 3:36 PM
Last Modification Date:
2024-10-26 @ 3:36 PM
Study NCT ID:
NCT06534554
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-07-30
Brief Title:
Improving Gout Care After an ED Visit
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Improving Gout Care After an Emergency Department Visit for Acute Gout
Status:
RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
CARE-Gout
Brief Summary:
The prevalence of gout has been steadily increasing over several decades and is correlated with the rising burden of obesity chronic cardiac and renal disease all conditions overrepresented in the Southeastern US - particularly in African Americans Through a novel post-emergency department visit intervention we aim to improve the care patients with gout receive both during acute exacerbations and long-term A secondary goal of the project is to concurrently enhance participation of minorities in biomedical research in the Deep South
Detailed Description:
The prevalence of gout has been steadily increasing and is correlated with the rising burden of obesity chronic cardiac and renal disease all conditions overrepresented in the Southeast US - particularly in African Americans Many patients with acute gout receive care at the emergency department ED particularly underserved urban populations in the Deep South Appropriate outpatient follow-up for an acute flare after an ED visit is variable Indeed in a preliminary analysis of a retrospective cohort study of patients with acute gout treated at our urban medical center ED only 46 of patients followed up with an outpatient clinician in our healthcare system within 6 months of their ED visit Even fewer 36 had an outpatient visit specifically addressing gout care within 6 months post-ED visit This population of patients that seek acute gout care in the ED represent an important group that may benefit from interventions focused on improving gout quality of care such as promoting outpatient follow-up
While having a mechanism to identity acute gout patients in the ED is fundamental for enhancing care for patients with acute gout recruiting people with acute gout who receive care in the ED outside regular business hours is challenging One potential solution involves approaching patients after their ED visits remotely using patient navigators The 36-72 hour period after their ED visit represents a critical time during which patients may be more receptive to efforts focused on improving healthy behaviors including scheduling outpatient follow-up ie a teachable moment Patient navigators are trained lay individuals of similar cultural background and region who provide personal guidance to patients and engage hard-to-reach groups reduce access barriers and encourage healthy behaviors such as engaging in outpatient chronic disease management
While having a mechanism to identity acute gout patients in the ED is fundamental for enhancing care for patients with acute gout recruiting people with acute gout who receive care in the ED outside regular business hours is challenging One potential solution involves approaching patients after their ED visits remotely using patient navigators The 36-72 hour period after their ED visit represents a critical time during which patients may be more receptive to efforts focused on improving healthy behaviors including scheduling outpatient follow-up ie a teachable moment Patient navigators are trained lay individuals of similar cultural background and region who provide personal guidance to patients and engage hard-to-reach groups reduce access barriers and encourage healthy behaviors such as engaging in outpatient chronic disease management
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None