Home-based assessment and treatment to avoid hospital admission for nursing home residents
Official title: Home-Based Assessment and Treatment by Municipal Acute Care Teams Combined With Remote Senior Physician Consultation as an Alternative to Hospital Admission for Nursing Home Residents: A Multicenter Randomized Controlled Trial
Run by Copenhagen University Hospital at Herlev · NCT07756554 · Data updated 2026-11-12
This study tests whether on-site care by municipal teams can safely reduce hospital visits for nursing home residents who become acutely ill or deteriorate after hours.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 9000 (estimated) |
| Sponsor | Copenhagen University Hospital at Herlev Academic / other |
| Locations | 4 sites (Copenhagen and 3 other locations) |
| Status | Recruiting |
| Started | February 1, 2026 |
| Main results expected | June 2027 |
| Study ends | December 2027 |
| Registry record updated | September 2, 2026 |
| Trial ID | NCT07756554 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Nursing homes in the Capital Region of Denmark that consent to participation and cluster randomization.
✕Probably not a fit
Residents in nursing homes that do not experience a reduction in hospital admissions with the intervention or where the standard pathway remains preferable may not benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This multicenter, cluster-randomized, unblinded quality-improvement study compares usual out-of-hours care with a pathway that enables nursing home staff to call a municipal acute care team directly for on-site clinical assessment. If needed, a senior hospital physician is consulted to plan treatment and observation, which may continue at the nursing home under hospital responsibility. The goal is to determine whether this home-based approach can safely lower hospital admissions and related mortality among nursing home residents. The trial is conducted in the Capital Region of Denmark and involves coordination between municipal teams and several major hospitals. Outcomes focus on hospitalization rates and patient safety in this vulnerable population.
Why it matters
Potential benefit: If successful, the approach could reduce unnecessary hospitalizations and associated risks for nursing home residents while maintaining safe and effective care.
How similar studies have gone: Prior work on hospital-at-home and cross-sector care models has shown potential to reduce admissions in some settings, though results vary by context.
Who can join: the full rules
Show full inclusion / exclusion criteria
Clusters (Nursing Homes): Inclusion Criteria: * Nursing homes, defined as long-term care facilities with care personnal available 24/7 for residents with need for continued medical care * Nursing homes located in the Capital Region of Denmark * Nursing homes accepting participation and cluster randomization Exclusion criteria * Assisted living facilities, intermediate/temporary care units, rehabilitation units, hospices, or other non-nursing-home setting. * Nursing homes located on the island of Bornholm
Where it's running
-
Copenhagen University Hospital - Bispebjerg and Frederiksb
Copenhagen, Denmark Recruiting -
University Hospital of Copenhagen Herlev
Herlev, Denmark Recruiting -
Copenhagen University Hospital - North Zealand Hospital
Hillerød, Denmark Recruiting -
University Hospital of Copenhagen Amager and Hvidovre
Hvidovre, Denmark Recruiting
Study contacts
- Study coordinator: Josephine L Nielsen, MD
- Email: josephine.lund.nielsen@regionh.dk
- Phone: +4527156091
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.