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Effect of Advanced Care at Home vs. Traditional Brick-and-Mortar Hospital Care in Acutely Ill Adults: A Pragmatic Clinical Trial

Not Applicable
Completed
Conditions
Acute Illness
Registration Number
NCT05766956
Lead Sponsor
Mayo Clinic
Brief Summary

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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1150
Inclusion Criteria
  • 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
Exclusion Criteria
  • 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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
The primary outcome is a composite outcome of all-cause mortality30 days post-discharge

The rate of death

30-day readmission30 days post-discharge

Readmission between discharge from ACH/traditional inpatient hospital care and 30 days post-discharge

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (4)

Mayo Clinic Arizona

🇺🇸

Phoenix, Arizona, United States

Mayo Clinic Jacksonville

🇺🇸

Jacksonville, Florida, United States

Mayo Clinic

🇺🇸

Rochester, Minnesota, United States

Mayo Clinic Health System

🇺🇸

Eau Claire, Wisconsin, United States

Mayo Clinic Arizona
🇺🇸Phoenix, Arizona, United States

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