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NCT Number: NCT07472335

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

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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Key information

Conditions

Aged Acute Disease Ambulances Disease Attributes Emergencies Emergency Medical Dispatch Centre Emergency Medical Services Emergency Service, Hospital Home Care Services Home Care, Hospital-Based Mortality Pathologic Processes Pathological Conditions, Signs and Symptoms Treatment Outcome

Age range

75 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Sahlgrenska University Hospital

Gothenburg, Sweden

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Type of care pathway

Other

Home-based acute care from a mobile healthcare team

Primary outcomes

  1. Need of hospital-based care

    Time frame: within 30 days

Secondary outcomes

  1. Mortality

    Time frame: 12 months

Sponsors and collaborators

Lead sponsor

Vastra Gotaland Region

Other Gov

Collaborators

  • Göteborg University

Registry information

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Mar 16, 2026
Registry last updated
Mar 16, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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