Health TrialsbyHealthPanel

Home Hospital for Suddenly Ill Adults

ConditionsInfectionHeart FailureCOPDAsthmaGout FlareChronic Kidney DiseasesHypertensive UrgencyAtrial Fibrillation RapidAnticoagulants; Increased
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorBrigham and Women's Hospital

About this trial

The investigators propose a home hospital model of care that substitutes for treatment in an acute care hospital. Limited studies of the home hospital model have demonstrated that a sizeable proportion of acute care can be delivered in the home with equal quality and safety, reduced cost, and improved patient experience.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Resides within either a 5-mile or 20 minute driving radius of emergency department

Has capacity to consent to study OR can assent to study and has proxy who can consent

>= 18 years-old

Can identify a potential caregiver who agrees to stay with patient for first 24 hours of admission. Caregiver must be competent to call care team if a problem is evident to her/him. After 24 hours, this caregiver should be available for as-needed spot checks on the patient. This criterion may be waived for highly competent patients at the patient and clinician's discretion.

Disqualifiers

Undomiciled

No working heat (October-April), no working air conditioning if forecast > 80°F (June-September), or no running water

On methadone requiring daily pickup of medication

In police custody

Trial design

Design model

Single group

Treatments tested in this trial

  • Home Hospitalization

    Other intervention

    See above

Treatment groups

3,000 Participants
are divided into 1 treatment group
Group A: Home HospitalizationExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Total direct cost of hospitalization, $

Time frame
From date of admission to date of discharge, an expected average of 4 days

Secondary outcomes

1

Direct margin, $

Direct margin from total cost of hospitalization

Time frame
From date of admission to date of discharge, an expected average of 4 days
2

Direct margin, modeled with backfill

Backfill uses a model that estimates the cost of patients who take the place of home hospital patients

Time frame
From date of admission to date of discharge, an expected average of 4 days
3

Total cost, 30-day post discharge

Time frame
Day of admission to 30-days post-discharge
4

Length of stay, days

Time frame
From date of admission to date of discharge, an expected average of 4 days

Other outcomes

1

Total reimbursement, 30-days post discharge

Exploratory

Time frame
Day of admission to 30-days post-discharge
2

Intravenous medications, days

Exploratory

Time frame
From date of admission to date of discharge, an expected average of 4 days
3

Intravenous fluids, days

Exploratory; the number of days intravenous fluids (for example, normal saline) were received by the patient.

Time frame
From date of admission to date of discharge, an expected average of 4 days
4

Intravenous diuretics, days

Exploratory; the number of days intravenous diuretics (for example, furosemide) were received by the patient.

Time frame
From date of admission to date of discharge, an expected average of 4 days

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Brigham and Women's Hospital

Lead sponsor

Source ClinicalTrials.gov
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