Remote Physician Care for Home Hospital Patients
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.|
|ClinicalTrials.gov Identifier: NCT04080570|
Recruitment Status : Completed
First Posted : September 6, 2019
Last Update Posted : November 30, 2020
|Condition or disease||Intervention/treatment||Phase|
|Infection Heart Failure Chronic Obstructive Pulmonary Disease Asthma Gout Flare Chronic Kidney Diseases Hypertensive Urgency Atrial Fibrillation Rapid Anticoagulants; Increased||Other: Remote Visit||Not Applicable|
Home hospital care is hospital-level care at home for acutely ill patients. In multiple publications, home hospital care delivered cost-effective, high-quality, excellent experience care with similar quality and safety as traditional hospital care. Most home hospital models require a licensed independent practitioner to see their patients physically in their home.
To further improve the efficiency and scalability of home hospital care, the investigators propose to test remote care, where the physician would provide care via a video interaction, instead of in-home/in-person care. The investigators propose a non-inferiority evaluation of this intervention.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||172 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||Remote Physician Care for Home Hospital Patients: A Randomized Controlled Trial|
|Actual Study Start Date :||August 3, 2019|
|Actual Primary Completion Date :||April 27, 2020|
|Actual Study Completion Date :||April 27, 2020|
Experimental: Remote Visit
After an initial physical in-home visit, the physician will see home hospitalized patients by facilitated video each day.
Other: Remote Visit
After an initial in-home visit, the physician will see home hospitalized patients by facilitated video.
No Intervention: In-Home Visit
The physician will see home hospitalized patients physically in their homes each day, as is usual care.
- Adverse events, # [ Time Frame: From date of admission to date of discharge (except for 30-day mortality), an expected average of 4 days ]The per patient count of adverse events, including fall, delirium, potentially preventable venous thromboembolism, new pressure ulcer, thrombophlebitis at peripheral IV site, catheter-associated urinary tract infection, new Clostridium difficile, new methicillin-resistant Staphylococcus aureus, new arrhythmia, hypokalemia, acute kidney injury, transfer back to hospital, mortality (unplanned) during admission, mortality (unplanned) 30-day post-discharge.
- Unplanned readmission after index admission, y/n [ Time Frame: Day of discharge to 30 days later ]
- Picker experience questionnaire, score [ Time Frame: Day of discharge, an expected average of 4 days ]Score between 0 and 15, with higher scores signifying better experience
- Global experience, score [ Time Frame: Day of discharge, an expected average of 4 days ]Score between 0 and 10, with higher scores signifying better experience
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04080570
|United States, Massachusetts|
|Brigham and Women's Hospital|
|Boston, Massachusetts, United States, 02115|
|Brigham and Women's Faulkner Hospital|
|Boston, Massachusetts, United States, 02130|