Acute Disease, Aged, Ambulances, Emergency Medical Dispatch Centre, Emergency Medical Services, Emergency Service, Hospital, Home Care, Hospital-Based, Home Care Services, Mortality, Treatment Outcome
Conditions
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.
Interventions
OTHERType of care pathway
Home-based acute care from a mobile healthcare team
Sponsors
Vastra Gotaland Region
Göteborg University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 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
Exclusion criteria
* 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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Need of hospital-based care | within 30 days |
Secondary
| Measure | Time frame |
|---|---|
| Mortality | 12 months |
Countries
Sweden
Outcome results
None listed