[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100651005":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":29,"locations":39,"responsibleParty":76,"collaborators":80,"id":89,"slug":90,"hasResults":91,"nctId":92,"briefTitle":93,"officialTitle":94,"acronym":18,"eligibilityCriteria":95,"healthyVolunteers":91,"sex":96,"minAge":97,"maxAge":18,"enrollmentInfo":98,"targetDuration":18,"studyType":101,"phases":102,"briefSummary":104,"conditions":105,"keywords":111,"overallStatus":42,"whyStopped":18,"lastUpdateSubmitDate":120,"lastUpdatePostDateStruct":121,"startDateStruct":124,"completionDateStruct":126,"leadSponsor":128,"locationsCount":129},{"fullName":5,"class":6},"Copenhagen University Hospital at Herlev","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Home-based assessment and treatment","EXPERIMENTAL","The intervention group",[13],"Other: Home-based Clinical Assessment and Treatment",{"label":15,"type":16,"description":17,"interventionNames":18},"Standard care","NO_INTERVENTION","The control group",null,[20],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":18},"Home-based Clinical Assessment and Treatment","Nursing homes in the intervention group will, if a resident experiences acute illness or clinical deterioration, call the municipal acute care team directly. They will then do a home-based clinical assessment and, if deemed necessary, consult a senior physician in the hospital emergency or geriatrics department to establish a treatment and observation plan.",[9],[25],{"name":26,"affiliation":27,"role":28},"Kasper K Iversen, MD, Professor","University Hospital of Copenhagen Herlev and Gentofte","STUDY_CHAIR",[30,35],{"name":31,"role":32,"phone":33,"phoneExt":18,"email":34},"Josephine L Nielsen, MD","CONTACT","+4527156091","josephine.lund.nielsen@regionh.dk",{"name":36,"role":32,"phone":37,"phoneExt":18,"email":38},"Maria N Larsen, MD, PhD","+4540314282","maria.normand.larsen@regionh.dk",[40,52,60,68],{"facility":41,"status":42,"city":43,"state":18,"zip":18,"country":44,"countryCode":45,"cosmosGeoPoint":46,"geoPoint":51,"contacts":18},"Copenhagen University Hospital - Bispebjerg and Frederiksb","RECRUITING","Copenhagen","Denmark","DK",{"type":47,"coordinates":48},"Point",[49,50],12.56553,55.67594,{"lat":50,"lon":49},{"facility":53,"status":42,"city":54,"state":18,"zip":18,"country":44,"countryCode":45,"cosmosGeoPoint":55,"geoPoint":59,"contacts":18},"University Hospital of Copenhagen Herlev","Herlev",{"type":47,"coordinates":56},[57,58],12.43998,55.72366,{"lat":58,"lon":57},{"facility":61,"status":42,"city":62,"state":18,"zip":18,"country":44,"countryCode":45,"cosmosGeoPoint":63,"geoPoint":67,"contacts":18},"Copenhagen University Hospital - North Zealand Hospital","Hillerød",{"type":47,"coordinates":64},[65,66],12.30081,55.92791,{"lat":66,"lon":65},{"facility":69,"status":42,"city":70,"state":18,"zip":18,"country":44,"countryCode":45,"cosmosGeoPoint":71,"geoPoint":75,"contacts":18},"University Hospital of Copenhagen Amager and Hvidovre","Hvidovre",{"type":47,"coordinates":72},[73,74],12.47708,55.64297,{"lat":74,"lon":73},{"type":77,"investigatorFullName":78,"investigatorTitle":79,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"PRINCIPAL_INVESTIGATOR","Josephine Lund Nielsen","Principal Investigator",[81,83,85,87],{"name":82,"class":6},"Herlev and Gentofte Hospital",{"name":84,"class":6},"Amager Hospital",{"name":86,"class":6},"Bispebjerg Hospital",{"name":88,"class":6},"Nordsjaellands Hospital","100651005","clinical-assessment-and-treatment-in-the-nursing-home-as-an-alternative-to-hospital-admission-100651005",false,"NCT07756554","Clinical Assessment and Treatment in the Nursing Home as an Alternative to Hospital Admission","Home-Based Assessment and Treatment by Municipal Acute Care Teams Combined With Remote Senior Physician Consultation as an Alternative to Hospital Admission for Nursing Home Residents: A Multicenter Randomized Controlled Trial","Clusters (Nursing Homes):\n\nInclusion Criteria:\n\n* Nursing homes, defined as long-term care facilities with care personnal available 24\u002F7 for residents with need for continued medical care\n* Nursing homes located in the Capital Region of Denmark\n* Nursing homes accepting participation and cluster randomization\n\nExclusion criteria\n\n* Assisted living facilities, intermediate\u002Ftemporary care units, rehabilitation units, hospices, or other non-nursing-home setting.\n* Nursing homes located on the island of Bornholm","ALL","18 Years",{"count":99,"type":100},9000,"ESTIMATED","INTERVENTIONAL",[103],"NA","This multicenter, cluster-randomized, unblinded quality-improvement study evaluates whether home-based clinical assessment by municipal acute care teams can safely reduce hospital admissions among nursing home residents experiencing acute illness or clinical deterioration during out-of-hours periods. Participating nursing homes in the Capital Region of Denmark will be randomized to either usual care (contacting the regional medical helpline, 1813) or the intervention pathway, in which nursing home staff contact a municipal acute care team directly. The acute care team performs an on-site clinical assessment and, when needed, consults a senior physician in the hospital emergency department to establish a treatment and observation plan, which may include continued management at the nursing home under hospital responsibility. The study compares the intervention with usual care with respect to hospital admissions and mortality among nursing home residents.",[106,107,108,109,110],"Nursing Homes Residents","Deterioration, Clinical","Infection","Dehydration","Pain Management",[112,113,114,115,116,117,118,119],"hospital at home","admission avoidance","home-based treatment","nursing home residents","Hospital-at-Home","HaH","HITH","Hospital in the home","2026-08-06",{"date":122,"type":123},"2026-08-10","ACTUAL",{"date":125,"type":123},"2026-02-01",{"date":127,"type":100},"2027-12",{"name":5,"class":6},4]