Home-based Acute Care for Older Persons Initiated by the Emergency Medical and Ambulance Services - a Retrospective Observation of Effects on Healthcare Utilisation and Mortality

ConditionsAged Home Care, Hospital-Based Home Care Services Emergency Medical Dispatch Centre Emergency Medical Services Ambulances Emergency Service, Hospital Acute Disease Mortality Treatment Outcome

Trial statusNot yet recruiting

Trial phaseNot listed

Trial typeObservational

Biological sexAll

Age75+

SponsorVastra Gotaland Region

About this trial

This observational study aims to examine outcomes of home-based acute care delivered by a mobile healthcare team in persons aged 75 years and older following an episode of acute illness.

The study will assess whether home-based acute care initiated by the emergency medical dispatch centre or ambulance services is non-inferior to emergency department care with regard to care needs and mortality.

Eligibility criteria

Qualifiers

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

Disqualifiers

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

Trial design

Treatments tested in this trial

Type of care pathway

Treatment groups

5,000 Participants

are divided into 2 treatment groups

Sponsors and collaborators

Vastra Gotaland Region

Lead sponsor

Göteborg University

Collaborator

Source ClinicalTrials.gov