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

NCT ID: NCT05766956

Last Updated: 2025-04-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-10

Study Completion Date

2024-12-30

Brief Summary

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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.

Detailed Description

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Conditions

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Acute Illness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Advanced Care at Home (ACH)

Patients will receive inpatient hospitalization at home.

Group Type EXPERIMENTAL

Advanced Care at Home (ACH)

Intervention Type OTHER

Inpatient hospitalization offered in the home setting.

Traditional Inpatient (Brick-and-Mortar) Hospital Care

Patients will receive inpatient hospitalization at the hospital.

Group Type ACTIVE_COMPARATOR

Traditional Brick-and-Mortar Hospitalization

Intervention Type OTHER

Inpatient hospitalization offered in the hospital setting.

Interventions

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Advanced Care at Home (ACH)

Inpatient hospitalization offered in the home setting.

Intervention Type OTHER

Traditional Brick-and-Mortar Hospitalization

Inpatient hospitalization offered in the hospital setting.

Intervention Type OTHER

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Michael J. Maniaci

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Mayo Clinic Arizona

Phoenix, Arizona, United States

Site Status

Mayo Clinic Jacksonville

Jacksonville, Florida, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Mayo Clinic Health System

Eau Claire, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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22-013387

Identifier Type: -

Identifier Source: org_study_id

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