Effect of Advanced Care at Home vs. Traditional Brick-and-Mortar Hospital Care in Acutely Ill Adults: A Pragmatic Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Mayo Clinic
- 入组人数
- 1,150
- 试验地点
- 4
- 主要终点
- The primary outcome is a composite outcome of all-cause mortality
研究概览
简要总结
The purpose of this study is to compare two care delivery models that are currently being implemented in routine practice settings. The findings from this study will inform future clinical decision making, such as which patients might be more suited for which care delivery model.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients, 18 years of age and older
- •Present to one of the participating hospitals
- •Have a chief complaint of one of the target diagnoses
- •Are within a certain geographical area (based on zip codes)
- •Have a health insurance plan that covers ACH services
- •Have the capacity to consent or could assent with the consent of a health care proxy who is physically present
排除标准
- •Not suitable for ACH or inpatient hospital care as determined by the patient's clinical team
- •Do not have the capacity to consent or assent with the assistance of a health care proxy
研究组 & 干预措施
Advanced Care at Home (ACH)
Patients will receive inpatient hospitalization at home.
干预措施: Advanced Care at Home (ACH) (Other)
Traditional Inpatient (Brick-and-Mortar) Hospital Care
Patients will receive inpatient hospitalization at the hospital.
干预措施: Traditional Brick-and-Mortar Hospitalization (Other)
结局指标
主要结局
The primary outcome is a composite outcome of all-cause mortality
时间窗: 30 days post-discharge
The rate of death
30-day readmission
时间窗: 30 days post-discharge
Readmission between discharge from ACH/traditional inpatient hospital care and 30 days post-discharge
次要结局
未报告次要终点
研究者
Michael J. Maniaci
Principal Investigator
Mayo Clinic