Team approach may cut complications for patients sent home on oxygen
NCT ID NCT07782892
First seen Aug 24, 2026 · Last updated Aug 25, 2026 · Updated 1 time
Summary
This trial tests whether having an emergency advanced practice nurse work alongside a physician, instead of a physician alone, improves the process of sending oxygen-dependent patients home from the emergency department. Adult patients eligible for a home oxygen pathway are randomly assigned to either team-based or physician-only management. The study tracks organizational problems (like delays or errors) and clinical deterioration over 28 days, and also interviews patients and staff about their experiences. The goal is to see if the team approach makes home discharge safer and more efficient.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- An organizational intervention: management by an emergency advanced practice nurse (APN) and physician team, compared to physician-alone management, for the home discharge of oxygen-dependent patients.
- What this could lead to
- If effective, this team-based approach could reduce complications and improve the experience of patients sent home on oxygen, making this care pathway safer and more sustainable.
- What could go wrong
- This is a single-center trial with a modest sample size, and the primary outcome focuses on organizational issues rather than direct clinical outcomes. Results may not generalize to other hospitals.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 170 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult patient (\>= 18 years) * Affiliated to a social health insurance scheme * Able to understand the objectives and risks of the research and to give dated, signed informed consent * Oxygen-dependent patient eligible for the Oxy-Urg pathway, meeting all of the following: * Stable for more than 12 hours on oxygen therapy in the emergency department * Oxygen requirement \<= 2 L/min (no upward change for 12 hours) * Not socially isolated (relatives able to readily help the patient, living geographically close) * Residing within the provider's geographical area (Bas-Rhin department) * No known pregnancy at inclusion Exclusion Criteria: * Clinical condition requiring hospitalization (decided by the senior physician, per standard of care) * Patient's refusal to enter the pathway * Patient managed outside the emergency APN's working hours * End-of-life patient * Unable to give informed consent (including insufficient understanding of French) * Subject in an exclusion period * Subject under legal protection * Subject under guardianship or curatorship
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Hôpitaux Universitaires de Strasbourg
Strasbourg, Grand Est, 67000, France
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