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

NCT07472335 — Recruiting, 5000 participants, Vastra Gotaland Region

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Registry	NCT07472335
Status	Recruiting
Study type	Observational
Enrollment	5000 (Estimated)
Sponsor	Vastra Gotaland Region (Other gov); collaborators: Göteborg University
Conditions	Aged, Home Care, Hospital-Based, Home Care Services, Emergency Medical Dispatch Centre, Emergency Medical Services, Ambulances, Emergency Service, Hospital, Acute Disease, Mortality, Treatment Outcome
Interventions	Type of care pathway (Other)
Dates	start 2026-04-01, primary completion 2027-12-31 (estimated), completion 2027-12-31 (estimated), first posted 2026-03-16, last updated 2026-08-28
Locations	1 site in Sweden

-Summary

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.

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+Arms and interventions

Arm	Type	Interventions	Description
Home-based acute care		Other: Type of care pathway
Emergency department care		Other: Type of care pathway

Type of care pathway (Other): Home-based acute care from a mobile healthcare team

+Outcome measures

Primary outcomes

Need of hospital-based care [within 30 days]

Secondary outcomes

Mortality [12 months]

+Eligibility

Sex: All, ages: 75 Years to any

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

+Locations (1)

Facility	City	Country	Status
Sahlgrenska University Hospital	Gothenburg	Sweden	Recruiting