Home-based Acute Care for Older Adults Initiated by Emergency Services

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

This observational study looks at outcomes for older adults (75+) who receive acute care at home delivered by a mobile healthcare team after an acute illness. It compares home-based care initiated by the emergency medical dispatch center or ambulance services with the standard emergency department care to see if the home option is not worse for mortality and required care. The study uses retrospective data from patients in Gothenburg and surrounding areas, focusing on timing and setting of care. It does not test an intervention in a randomized way but observes real-world pathways and outcomes. The aim is to understand whether home-based care can reduce hospital utilization while maintaining safety.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Contact with the emergency number (112), followed by either a telephone assessment by the Emergency Medical Dispatch Centre or an in-home assessment by an ambulance nurse
* Home-based acute care a weekday between 8 AM - 4 PM
* Emergency-department care weeknight 4 PM - 8 AM or weekends
* Registered residence in one of the municipalities of Gothenburg, Mölndal, Partille, or Härryda

Exclusion Criteria:

* Immediate conditions requiring hospital care
* Care at the emergency department or by a mobile primary care team occurring more than 24 hours after assessment by the Emergency Medical Dispatch Centre or ambulance services
* Individuals who have already been assessed by a physician and/or have a written referral to the emergency department

Where it's running

• Sahlgrenska University Hospital
  Gothenburg, Sweden Recruiting

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Long-term outcomes after vacuum-induced tamponade for postpartum hemorrhage

  This study will look at women who had postpartum hemorrhage treated with vacuum-induced tamponade at a Zurich hospital to see how they fared over time, including future pregnancies and fertility.

  Recruiting University of Zurich · Zurich, Canton of Zurich · NCT07885072

• Single-Lumen Midline Catheter vs Ultrasound-Guided Peripheral IV by ED Nurses

  This study tests whether a ultrasound-guided single-lumen midline catheter works better than an ultrasound-guided long peripheral IV for ED patients with difficult IV access, when inserted by bedside nurses.

  Recruiting Albany Medical College · Albany, New York · NCT07779317

• Nurse-led Integrated Home Health Service for Parents of Children Requiring Respiratory Support

  This study tests whether a nurse-led home health service helps parents better manage their child’s respiratory symptoms at home.

  Recruiting The Hong Kong Polytechnic University · Hong Kong and 1 other locations · NCT07652268

• Flumazenil to help reduce cognitive side effects during ECT for depression

  This study tests whether giving flumazenil to reverse benzodiazepine effects during electroconvulsive therapy can lower cognitive side effects without reducing treatment effectiveness in adults with depression.

  Recruiting Mental Health Centre Copenhagen, Bispebjerg and Frederiksberg Hospital · Frederiksberg, Capital Region · NCT07619092

• Analysis of German hospital emergency and disaster plans to see how prepared hospitals are for crises

  This study tests whether analyzing hospital emergency and disaster plans from across Germany can identify strengths and gaps to help improve preparedness.

  Recruiting Heidelberg University · Heidelberg · NCT07440329

• Informing low-acuity ED patients about non-emergency care options

  This project will test whether sending a text message and adding information to your after-visit summary helps adults discharged from the ED with low-acuity visits use primary care or an intelligent triage tool instead of returning to the emergency department.

  Recruiting Geisinger Clinic · Danville, Pennsylvania · NCT07185828

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.