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
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Type of care pathway.
- Who it may be relevant to
- Registry conditions: Aged, Home Care, Hospital-Based, Home Care Services, Emergency Medical Dispatch Centre. Basic parameters: from 75 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Sweden
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
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.
Interventions
- Other Type of care pathway
Home-based acute care from a mobile healthcare team
Primary outcome measures
- Need of hospital-based care [Time frame: within 30 days]
Secondary outcome measures (1)
- Mortality [Time frame: 12 months]
Eligibility criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Sweden · 1 center
- Sahlgrenska University Hospital — Gothenburg
Identifiers
NCT: NCT07472335 · NSVT_OSA