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

Not Applicable

Terminated

• Conditions: The Trial Will Compare Two Care Delivery Models That Are Currently Being Used in Routine Practice Settings for Acute Hospitalization
• Interventions: Other: Advanced Care at Home (ACH); Other: Traditional Brick-and-Mortar Hospitalization

• Registration Number: NCT05212077
• 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

Study Timeline

• Study First Submitted: 2022-01-26
• Study First Submitted QC: 2022-01-26
• Study First Posted: 2022-01-27
• Study Start: 2022-02-15
• Primary Completion: 2023-12-05
• Study Completion: 2023-12-05
• Status Verified: 2024-03
• Last Update Submitted: 2024-03-11
• Last Update Posted: 2024-03-13

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 15

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.

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Exclusion Criteria

• The patient is not suitable for ACH or inpatient hospital care based on:

  • being a nursing home patient;
  • on or requiring dialysis;
  • positive for COVID-19;
  • having discharge order;
  • requiring intensive care unit (ICU) level of care;
  • history of drug abuse.

• Patients will also need to meet the clinical stability criteria.

• Do not have the capacity to consent or assent with the assistance of a health care proxy.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Advanced Care at Home (ACH)	Advanced Care at Home (ACH)	Patients will receive inpatient hospitalization at home.
Traditional Inpatient (Brick-and-Mortar) Hospital Care	Traditional Brick-and-Mortar Hospitalization	Patients will receive inpatient hospitalization at the hospital.

Primary Outcome Measures

Name	Time	Method
The primary outcome is a composite outcome of all-cause mortality	30 days post-discharge	The rate of death
30-day readmission.	30 days post-discharge	readmission between discharge from ACH/traditional inpatient hospital care and 30 days post-discharge.

Trial Locations

Locations (4)

Mayo Clinic Arizona; 🇺🇸 Phoenix, Arizona, United States

Mayo Clinic; 🇺🇸 Rochester, Minnesota, United States

Mayo Clinic Health System; 🇺🇸 Eau Claire, Wisconsin, United States

Mayo Clinic Jacksonville; 🇺🇸 Jacksonville, Florida, United States