Comparing Acute Medical Unit care versus usual ward care for adults with sudden medical illnesses

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Investigators will compare patients admitted from the emergency department to an Acute Medical Unit (AMU) with similar patients admitted directly to general wards at a major Singapore hospital, using observational methods to match similar clinical profiles. The team will examine clinical effectiveness and cost-effectiveness outcomes such as length of stay, complications, readmissions, and resource use. Key inclusion criteria are adults 21 and older with acute medical illnesses including infection-related conditions, falls/disequilibrium, or COPD exacerbations, while people who are pregnant, on active chemotherapy, admitted under 24 hours, or requiring acute stroke interventions are excluded. The study leverages Singapore’s national healthcare setting and academic partnerships to compare how different interface care models perform in real-world practice.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* AMU inclusion criteria - admission from ED to AMU directly
* Control group inclusion criteria - admission from ED to GW directly
* Acute medical illnesses that includes infection-related conditions, falls-disequilibrium, and acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD).

Exclusion Criteria:

* Below 21 years old
* Patients undergoing active chemotherapy
* Patients with active pregnancy
* Patients admitted less than 24 hours
* Cerebrovascular disease requiring thrombolysis or intravascular intervention

Where it's running

• National University Hospital
  Singapore, Singapore Recruiting

Study contacts

• Study coordinator: John TY Soong, PhD
• Email: John_Soong@nuhs.edu.sg
• Phone: +6567727678

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.