Clinical Assessment and Treatment in the Nursing Home as an Alternative to Hospital Admission
Recruiting now · Not applicable
Conditions studied: Nursing Homes Residents, Deterioration, Clinical, Infection, Dehydration, Pain Management
In brief
This multicenter, cluster-randomized, unblinded quality-improvement study evaluates whether home-based clinical assessment by municipal acute care teams can safely reduce hospital admissions among nursing home residents experiencing acute illness or clinical deterioration during out-of-hours periods. Participating nursing homes in the Capital Region of Denmark will be randomized to either usual care (contacting the regional medical helpline, 1813) or the intervention pathway, in which nursing home staff contact a municipal acute care team directly. The acute care team performs an on-site clinical assessment and, when needed, consults a senior physician in the hospital emergency department to establish a treatment and observation plan, which may include continued management at the nursing home under hospital responsibility. The study compares the intervention with usual care with respect to hospital admissions and mortality among nursing home residents.
Key facts
- Study ID
- NCT07756554
- Run by
- Copenhagen University Hospital at Herlev
- People needed
- 9000
- Starts
- 2026-02-01
- Expected to finish
- 2027-12-01
- Last updated by the study team
- 2026-08-10
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Nursing homes, defined as long-term care facilities with care personnal available 24/7 for residents with need for continued medical care
- Nursing homes located in the Capital Region of Denmark
- Nursing homes accepting participation and cluster randomization
You may not qualify if…
- Assisted living facilities, intermediate/temporary care units, rehabilitation units, hospices, or other non-nursing-home setting.
- Nursing homes located on the island of Bornholm
Where it is running
- Copenhagen University Hospital - Bispebjerg and Frederiksb — Copenhagen, Denmark (enrolling)
- University Hospital of Copenhagen Herlev — Herlev, Denmark (enrolling)
- Copenhagen University Hospital - North Zealand Hospital — Hillerød, Denmark (enrolling)
- University Hospital of Copenhagen Amager and Hvidovre — Hvidovre, Denmark (enrolling)
Full record on ClinicalTrials.gov
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