An interventional study of Emergency care at home and Emergency care at a brick-and-mortar emergency department in Emergency Medical Services and Emergency Department Visits, sponsored by Brigham and Women's Hospital. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-17.
Sponsored by Brigham and Women's Hospital · Not applicable, Interventional, and Treatment
This study will assess the efficacy of receiving emergency care at home versus in the brick-and-mortar emergency department.
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
Brigham and Women's Hospital is the lead sponsor of 1,236 studies on the registry; 224 are open to participants now.
Of its 116 completed or terminated interventional studies of FDA-regulated products, 64 (55%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
oHigh Risk Signs, if available: Heart rate > 120 Systolic blood pressure \< 90 Shock Index (heart rate divided by systolic blood pressure) > 1 Oxygen \< 93% on ambient air Increase in oxygen requirement new or > 2 liters Respiratory rate > 28 Diaphoresis oHigh Risk Symptoms: Active chest pain Severe work of breathing Syncope Hemoptysis Seizure Other concerning symptom per nurse triage
Emergency care in a brick-and-mortar emergency department.
Other: Emergency care at a brick-and-mortar emergency department
Emergency care in the patient's home.
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.
Standard emergency care delivered in a brick-and-mortar emergency department.
Participant with an emergency department presentation, observation, or hospitalization within 9 days
Whether a patient presented to the emergency department, was observed in the emergency department, or was hospitalized in the 9 days following their index emergency care visit. Excludes patients who were admitted on their index visit.
Time frame: From the day after emergency care visit until 9 days later, up to 9 days
Time to care initiation
Number of minutes from when the consultation for emergency care at home was placed to emergency care (either in the home or in the emergency department) occurs.
Time frame: From the time a consultation is placed in the electronic health record to the time a patient is seen by a clinician, up to 2880 minutes.
Time spent receiving care
Number of minutes from when a patient was seen by a clinician to they are dismissed from the emergency room (usual care) or the paramedic leaves their home (experimental).
Time frame: From the time a patient is seen by a clinician to the time a patient completes their emergency care, up to 1440 minutes.
Number of days at home within 9 days
The number of days the patient spends at home in the 9 days following the index emergency care visit.
Time frame: From the day after emergency care visit until 9 days later
Plan to share: No
No publications or documents are linked to this record.
This study is completed, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.
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