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

Acute Illness Clinical Trial

Official title:

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

Clinical Trial Details — Status: Enrolling by invitation

Administrative data

• NCT number: NCT05766956
• Other study ID #: 22-013387
• Status: Enrolling by invitation
• Phase: N/A
• Start date: July 10, 2023
• Est. completion date: June 2024

Study information

• Verified date: August 2023
• Source: Mayo Clinic
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Enrolling by invitation
• Enrollment: 360
• Est. completion date: June 2024
• Est. primary completion date: June 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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

Exclusion Criteria:

• Not suitable for ACH or inpatient hospital care as determined by the patient's clinical team
• Do not have the capacity to consent or assent with the assistance of a health care proxy

Related Conditions & MeSH terms

• Acute Illness

Intervention

Other:
• Advanced Care at Home (ACH)
Inpatient hospitalization offered in the home setting.
• Traditional Brick-and-Mortar Hospitalization
Inpatient hospitalization offered in the hospital setting.

Locations

Country	Name	City	State
United States	Mayo Clinic Health System	Eau Claire	Wisconsin
United States	Mayo Clinic Jacksonville	Jacksonville	Florida
United States	Mayo Clinic Arizona	Phoenix	Arizona
United States	Mayo Clinic	Rochester	Minnesota

Sponsors (1)

Lead Sponsor	Collaborator
Mayo Clinic

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The primary outcome is a composite outcome of all-cause mortality	The rate of death	30 days post-discharge
Primary	30-day readmission	Readmission between discharge from ACH/traditional inpatient hospital care and 30 days post-discharge	30 days post-discharge