Last updated on March 2017

Hospitalization at Home: The Acute Care Home Hospital Program for Adults


Are you eligible to participate in this study?

You may be eligible for this study if you meet the following criteria:

  • Conditions: Urinary Tract Infections | Cellulitis | Heart Failure | Pneumonia
  • Age: Between 18 - 100 Years
  • Gender: Male or Female
  • Other:
    Resides within 5-mile radius of emergency room
    English- or Spanish-speaker
    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.
    This criterion may be waived for highly competent patients at the patient and
    clinician's discretion.
    >=18 years old
    Primary diagnosis of cellulitis, heart failure, complicated urinary tract infection,
    or pneumonia that requires inpatient admission as determined by blinded emergency
    room team.

You may not be eligible for this study if the following are true:

  • Undomiciled
    No working heat (October-April), no working air conditioning if forecast > 80°F
    (June-September), or no running water
    On methadone requiring daily pickup of medication
    In police custody
    Resides in facility that provides on-site medical care (e.g., skilled nursing
    facility)
    Domestic violence screen positive
    Cared for by a private primary care physician who rounds in the hospital
    Cannot establish peripheral access in emergency department (or access requires
    ultrasound guidance)
    Secondary condition: active non-melanoma/prostate cancer, end-stage renal disease,
    acute myocardial infarction, acute cerebral vascular accident, acute hemorrhage
    Primary diagnosis requires narcotics for pain control
    Cannot independently ambulate to bedside commode
    As deemed by on-call medical doctor, patient likely to require any of the following
    procedures: computed tomography, magnetic resonance imaging, endoscopic procedure,
    blood transfusion, cardiac stress test, or surgery
    For pneumonia:
    Most recent CURB65 > 3: new confusion, blood urea nitrogen > 19mg/dL, respiratory
    rate>=30/min, systolic blood pressure<90mmHg, Age>=65
    Most recent SMRTCO > 2: systolic blood pressure < 90mmHg (2pts), multilobar chest
    xray involvement (1pt), respiratory rate >= 30/min, heart rate >= 125, new confusion,
    oxygen saturation <= 90%
    Absence of clear infiltrate on imaging
    Cavitary lesion on imaging
    O2 saturation < 90% despite 5L O2
    For heart failure:
    Has a left ventricular assist device or paced rhythm
    Get with the Guidelines - Heart Failure (>10% in-hospital mortality) or The Acute
    Decompensated Heart Failure National Registry score (high risk or intermediate risk
    1)
    Anasarca
    Pulmonary hypertension
    For complicated urinary tract infection:
    Absence of pyuria
    Most recent quick sepsis related organ failure assessment > 1
    Home hospital census is full (maximum 4 patients at any time)

Recruitment Status: Open


Brief Description Eligibility Contact Research Team


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