Could home hospital care keep dementia patients out of the ER?
NCT ID NCT06819852
First seen Jun 26, 2026 · Last updated Aug 13, 2026 · Updated 3 times
Summary
This study will test whether providing acute hospital care at home, instead of in a traditional hospital, can help people with moderate to severe dementia spend more days at home after an acute illness. Researchers will randomly assign 200 participants to either receive home-based acute care or standard hospital care. The main goal is to see if home care increases the number of days at home within 30 days of an acute care episode.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Acute hospital care at home (home visits and on-demand evaluation)
- What this could lead to
- If successful, this could offer a way for people with dementia to receive acute medical care at home instead of in a hospital, potentially reducing stress and complications.
- What could go wrong
- This is a relatively small trial (200 people) and only includes those with a family caregiver nearby. The results may not apply to everyone with dementia, and home care may not be suitable for all acute illnesses.
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 200 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Apr 2029
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: * Diagnosis of moderate or severe dementia (as ascertained by the Quick Dementia Rating System; QDRS) * Resides in a private or assisted living residence with or nearby (\<15min travel time) to a family caregiver * Resides within the Mass General Brigham (MGB) home hospital catchment area * Has had at least 1 hospitalization in the last 12 months. Exclusion Criteria: * Hospitalized in the last 30 days * No functioning utilities, such as no working heat (October-April), no running water, or no electricity. * Resides in skilled nursing facility * Resides in group home * Domestic violence screen positive * In police custody * Family caregiver unable to initiate or maintain communication with care team * End-stage renal disease on hemodialysis * On methadone requiring daily pickup of medication * Active substance use disorder, without functioning treatment plan * Psychiatric diagnosis that would prohibit successful home hospital care * Acute delirium without explanation or without the ability to manage at home * Patients with cancer requiring consistent hospital-based treatments * Cannot ambulate to bedside commode with assistance present in the home (if different from baseline), unless home-based aides are available
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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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Brigham and Women's Hospital
Boston, Massachusetts, 02120, United States
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