Rural Hospital-Level Care at Home for Acutely Ill Adults (NCT05256303) | Clinical Trial Compass
CompletedNot Applicable
Rural Hospital-Level Care at Home for Acutely Ill Adults
United States, Canada160 participantsStarted 2022-02-16
Plain-language summary
This study examines the implications of providing hospital-level care in rural homes.
Who can participate
Age range
18 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
Patient clinical inclusion criteria:
* \>=18 years old
* Any infectious process (e.g., pneumonia, diverticulitis, cellulitis, complicated urinary tract infection)
* Heart failure exacerbation
* Asthma and chronic obstructive pulmonary disease exacerbation
* Atrial fibrillation with rapid ventricular response
* Diabetes and its complications
* Venous thromboembolism
* Gout exacerbation
* Chronic kidney disease with volume overload
* Hypertensive urgency
* End of life / desires only medical management
Patient environmental inclusion criteria:
* Lives in a rural area that can be served by the RHH team.
* Has capacity to consent to study OR can assent to study and has proxy who can consent (see subject enrollment, below)
* Can identify a potential caregiver who agrees to stay with patient for first 24 hours of admission. Caregiver must be competent to call care team if a problem is evident to her/him. After 24 hours, this caregiver should be available for as-needed spot checks on the patient.
* This criterion may be waived for highly competent patients at the patient and clinician's discretion.
Patient caregiver inclusion criteria: (not required for patient participation):
* Age \>= 18 years old
* Has capacity to consent to study
* Lives within 15 minutes travel time.
Clinician inclusion criteria:
* The rural home hospital clinical team will be identified by the site PI at each study site prior to the start of the study. The site PI will recruit loc…
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Total cost, hospitalization
Timeframe: Date of admission to date of discharge, estimated 10 days later