NCT06299774

Emergency Care at Home

Emergency Care at Home: A Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 229 (actual)
• Sponsor: Brigham and Women's Hospital · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This study will assess the efficacy of receiving emergency care at home versus in the brick-and-mortar emergency department.

Detailed description

Care in an emergency department has many benefits. It delivers high-intensity critical care on demand to large populations and serves as an efficient gateway to hospitalization. However, some populations may not be well-served by the traditional emergency department, particularly older adults, adults with serious illness, and those who are homebound. Many harms may come to older adults in the emergency department, including delirium, pressure injuries, infections, anxiety, and others. Emergency department crowding secondary to hospital capacity constraints may also lead to suboptimal care, as patients wait many hours for their inpatient bed even after a disposition decision is made. As a result, the investigators will evaluate in a randomized controlled trial the efficacy of emergency care delivered at home instead of in the emergency department

Conditions

• Emergency Medical Services
• Emergency Department Visits

Interventions

Type	Name	Description
OTHER	Emergency care at home	A mobile integrated health paramedic under the direction of a remote emergency care physician will arrive at the patient's home and deliver emergency care.
OTHER	Emergency care at a brick-and-mortar emergency department	Standard emergency care delivered in a brick-and-mortar emergency department.

Timeline

• Start date: 2024-02-02
• Primary completion: 2024-10-26
• Completion: 2024-10-26
• First posted: 2024-03-08
• Last updated: 2026-03-17

Locations

1 site across 1 country: United States