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 | Not Yet Recruiting

• 1 other identifier: NSVT_OSA
• Study Type: observational
• Target: 5,000
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Emergency Service, Hospital; Acute Disease; Mortality; Treatment Outcome; Aged; Home Care, Hospital-Based; Home Care Services; Emergency Medical Dispatch Centre; Emergency Medical Services; Ambulances

Outcome Measures

Primary Outcomes (1)

• Need of hospital-based care

  within 30 days

Secondary Outcomes (1)

• Mortality

  12 months

Study Arms (2)

Home-based acute care

Other: Type of care pathway

Emergency department care

Other: Type of care pathway

Interventions

Type of care pathway OTHER

Home-based acute care from a mobile healthcare team

Emergency department care; Home-based acute care

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population consists of persons aged 75 years and older with an acute illness who contact the emergency number (112) and are assessed by the Emergency Medical Dispatch Centre or ambulance services, and who subsequently receive either home-based acute care from a mobile healthcare team or care at the emergency department.

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Vastra Gotaland Region: lead
• Göteborg University: collaborator

Study Sites (1)

Sahlgrenska University Hospital

Gothenburg, Sweden

Location

MeSH Terms

Conditions

Emergencies; Acute Disease

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 10, 2026
• First Posted: March 16, 2026
• Study Start: April 1, 2026
• Primary Completion (Estimated): December 31, 2027
• Study Completion (Estimated): December 31, 2027
• Last Updated: March 16, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)