Home Hospital for Suddenly Ill Adults

This study is looking at a new way to care for adults who become suddenly ill with conditions like infection, heart failure, COPD, asthma, or gout flare. Instead of staying in a traditional hospital, you would receive care in your own home. Researchers want to see if this "Home Hospitalization" approach can provide the same quality and safety of care as a regular hospital, but at a lower cost. To join, you must be 18 or older, live close to an emergency department (within 5 miles or 20 minutes driving), and have someone who can be a caregiver for the first 24 hours. The main goal is to compare the total cost of care between home hospitalization and traditional hospital stays. The current status of this study is unclear.

Study design: This interventional study plans to enroll 3000 participants to compare home hospitalization with traditional hospital care.
What's involved: Not specified in the trial record.
Compensation: Not stated in the trial record.
Follow-up: The primary endpoint, total direct cost of hospitalization, is measured from admission to discharge, an expected average of 4 days.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

Home Hospital for Suddenly Ill Adults

Recruiting

NAAges 18+InterventionalTreatment

Brigham and Women's Hospital

~3,000 participants

Updated 2026-03-17 on ClinicalTrials.gov

What's tested:Home Hospitalization

At a glance

Recruiting sites

2 of 2 listed sites are recruiting right now

RecruitingSuspended, closed, or not yet open

What they're measuring

Total direct cost of hospitalization, $

Measured over From date of admission to date of discharge, an expected average of 4 days

Conditions

Infection

Heart Failure

COPD

Asthma

Gout Flare

Chronic Kidney Diseases

Hypertensive Urgency

Atrial Fibrillation Rapid

Anticoagulants; Increased

Where it's being run

2 sites across 1 states

Massachusetts2

Who to contact

David M Levine, MD MPH MA

[email protected]

617-732-7063

Email the study team

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Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

Resides within either a 5-mile or 20 minute driving radius of emergency department

Has capacity to consent to study OR can assent to study and has proxy who can consent

\>= 18 years-old

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.

Primary or possible diagnosis of cellulitis, heart failure, complicated urinary tract infection, pneumonia, COPD/asthma, other infection, chronic kidney disease, malignant pain, diabetes and its complications, gout flare, hypertensive urgency, previously diagnosed atrial fibrillation with rapid ventricular response, anticoagulation needs, or a patient who desires only medical management that requires inpatient admission, as determined by the emergency room team.

Exclusion

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

Acute delirium, as determined by the Confusion Assessment Method

Cannot establish peripheral access in emergency department (or access requires ultrasound guidance)

Secondary condition: end-stage renal disease, acute myocardial infarction, acute cerebral vascular accident, acute hemorrhage

Primary diagnosis requires multiple or routine administrations of intravenous 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

High risk for clinical deterioration

Home hospital census is full (maximum 5 patients at any time)

What this trial measures

Total direct cost of hospitalization, $From date of admission to date of discharge, an expected average of 4 days

Trialytics