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Home Hospital Care for Acute Illnesses in Adults
N/A
Waitlist Available
Research Sponsored by Brigham and Women's Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Patient clinical inclusion criteria: Atrial fibrillation with rapid ventricular response
Patient clinical inclusion criteria: Hypertensive urgency
Timeline
Screening 3 weeks
Treatment Varies
Follow Up day of discharge to 30 days, assessed up to 2 months
Awards & highlights
Study Summary
This trial sought to improve care for rural patients by providing hospital-level care in their homes.
Who is the study for?
Adults living in rural areas with conditions like infections, heart failure, COPD, diabetes complications, and more. They must be able to identify a caregiver for the first 24 hours and have a home suitable for care. Excluded are those needing routine IV narcotics, severe medical conditions that require hospital-based procedures or have mobility issues without home aides.Check my eligibility
What is being tested?
The trial is testing if providing hospital-level care at home (Home Hospital care) is as effective as Traditional Hospital care for acutely ill adults in rural settings. It aims to understand the outcomes of such an approach on various health conditions.See study design
What are the potential side effects?
Since this trial compares different settings of healthcare delivery rather than medications or treatments directly, side effects are not typical as with drug trials. However, risks may include potential delays in emergency treatment due to being at home.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have atrial fibrillation with a fast heartbeat.
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I have been diagnosed with a very high blood pressure that needs quick treatment.
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I have had a blood clot in my veins.
Select...
I am currently experiencing a flare-up of my gout.
Select...
I currently have an infection such as pneumonia or a UTI.
Select...
I have worsening symptoms of asthma or COPD.
Select...
My heart failure symptoms have recently gotten worse.
Select...
I am 18 years old or older.
Select...
I have diabetes and its complications.
Select...
I have chronic kidney disease with fluid buildup.
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I am seeking only medical management for my condition.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ day of discharge to 30 days, assessed up to 2 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~day of discharge to 30 days, assessed up to 2 months
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Total cost, hospitalization
Secondary outcome measures
Days at home
Percent of day lying down
Total cost, discharge to 30-days post discharge
+1 moreOther outcome measures
Activities of daily living, score
Acute kidney injury, y/n
Admission source
+100 moreTrial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: Home Hospital careExperimental Treatment1 Intervention
Patients receive hospital-level care in their home, as a substitute to traditional hospital care.
Group II: Traditional Hospital careActive Control1 Intervention
Patients receive hospital-level care in the hospital.
Find a Location
Who is running the clinical trial?
Brigham and Women's HospitalLead Sponsor
1,611 Previous Clinical Trials
11,470,359 Total Patients Enrolled
24 Trials studying Infections
50,256 Patients Enrolled for Infections
The Thompson Family Foundation IncUNKNOWN
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have had a blood clot in my veins.I am currently experiencing a flare-up of my gout.You have signs of severe infection, such as low blood pressure, rapid breathing, or altered mental status.I am a clinician selected to provide care in rural home hospitals and participate in research.My caregiver is 18 years old or older.I do not need regular IV painkillers for my primary condition.I do not have severe pulmonary hypertension.I cannot walk to the bathroom by myself without help.You have a left ventricular assist device for heart failure.I currently have an infection such as pneumonia or a UTI.My heart rate has been below 125 and blood pressure stable or higher for less than an hour.If a patient has a BAP-65 score of more than 3, they should be treated cautiously and may be excluded from the study.I am not expected to need major medical procedures like CT scans, MRI, endoscopy, blood transfusion, stress tests, or surgery during the trial.I am not at high or intermediate risk of heart failure according to GWTG-HF or ADHERE.You cannot have very high systolic blood pressure, which is over 190 mmHg.I do not have severe complications like kidney injury or heart attack due to high blood pressure.If your breathing test shows that your air flow is less than 50% of normal, you may not be able to participate.I am likely to need a procedure to correct my heart rhythm.I have worsening symptoms of asthma or COPD.I do not have unstable blood pressure, breathing, or oxygen levels.My heart failure symptoms have recently gotten worse.I am 18 years old or older.I have atrial fibrillation with a fast heartbeat.I have diabetes and its complications.My oxygen levels stay above 90% even with extra oxygen.I do not have active non-melanoma/prostate cancer, end-stage renal disease, recent heart attack, stroke, or severe bleeding.I do not have unexplained fluid in my lungs.You are not eligible if you do not have pus in your urine.You don't have a clear sign of infection on your imaging test.My local hospital cannot admit more patients.My heart rate is over 125 despite treatment, and my blood pressure isn't normal.I do not have new atrial fibrillation with a fast heartbeat.I can agree to join the study myself, or I have someone who can agree for me.My caregiver is able to understand and agree to study participation.I have been diagnosed with a very high blood pressure that needs quick treatment.I have chronic kidney disease with fluid buildup.I am seeking only medical management for my condition.You will be excluded if your imaging shows a cavitary lesion related to pneumonia.I do not have severe pneumonia symptoms like confusion, high BUN, fast breathing, low blood pressure, or being 65 or older.I do not have a severe infection as indicated by a low blood pressure, high breathing rate, or altered mental status.You are currently experiencing sudden confusion, as determined by a specific assessment method.I do not need IV insulin for my diabetes.I do not have severe symptoms that would indicate a high risk of needing intensive respiratory or vasopressor support due to pneumonia.
Research Study Groups:
This trial has the following groups:- Group 1: Home Hospital care
- Group 2: Traditional Hospital care
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Is recruitment for this research project still ongoing?
"According to sources, this clinical trial is currently recruiting suitable applicants. It was posted on February 16th 2022 and last adjusted on October 17th of the same year."
Answered by AI
How many individuals have joined this clinical trial to date?
"Affirmative, the data on clinicaltrials.gov indicates that this study is presently seeking volunteers. The trial was first published on February 16th 2022 and has been modified since then most recently on October 17th 2022. 150 participants are needed from 3 different medical facilities."
Answered by AI
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