Evidence map›Paper›PMID 40374231›Full record

ArticleBMJ open2025

Telemedicine-supported hospital-at-home for acutely admitted patients at Nordsjaellands Hospital, Denmark: a study protocol for a randomised controlled trial.

Maria Normand Larsen, Tatjana Sandreva Dreisig, Maja Kjaer Rasmussen, Maria Lund Christensen, Daniel Bjerregaard, Charlotte Demuth von Sydow, Thyge Lynghøj Nielsen, Thea Kølsen Fischer

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05920304 (Early Discharge - a Randomised Controlled Trial Evaluating Mental and Physical Effects on Acutely and Chronically Ill Patients in a Telemedicine Supported Virtual Hospital at Home Model), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05920304 nacompletednot on this map

Early Discharge - a Randomised Controlled Trial Evaluating Mental and Physical Effects on Acutely and Chronically Ill Patients in a Telemedicine Supported Virtual Hospital at Home Model

TypeinterventionalSponsorNordsjaellands HospitalRan2023 to 2025Enrolled111ConditionsEpidemic Disease, InfectionsArmsvirtual Hospital at Home (vHaH)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Maria Normand LarsenDepartment of Clinical Research, Nordsjaellands Hospital, Hillerød, Capital Region of Denmark, Denmark maria.normand.larsen@regionh.dk.ORCID http://orcid.org/0000-0003-4114-1937
Tatjana Sandreva DreisigDepartment of Clinical Research, Nordsjaellands Hospital, Hillerød, Capital Region of Denmark, Denmark.
Maja Kjaer RasmussenCentre for Innovative Medical Technology, Odense University Hospital, Odense, Region Syddanmark, Denmark.
Maria Lund ChristensenDepartment of Pulmonary and Infectious Diseases, Nordsjaellands Hospital, Hillerød, Capital Region of Denmark, Denmark.
Daniel BjerregaardDepartment of Clinical Research, Nordsjaellands Hospital, Hillerød, Capital Region of Denmark, Denmark.
Charlotte Demuth von SydowDepartment of Clinical Research, Nordsjaellands Hospital, Hillerød, Capital Region of Denmark, Denmark.
Thyge Lynghøj NielsenDepartment of Pulmonary and Infectious Diseases, Nordsjaellands Hospital, Hillerød, Capital Region of Denmark, Denmark.
Thea Kølsen FischerDepartment of Clinical Research, Nordsjaellands Hospital, Hillerød, Capital Region of Denmark, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe combination of a reduction in the Danish hospital bed count, the shortage of hospital staff and demographic changes challenges the Danish hospital capacity. This was further highlighted during the COVID-19 pandemic when hospitals worldwide were overwhelmed by infected patients requiring acute hospital care. To address these challenges, a hospital-at-home (HaH) programme offers an alternative to conventional in-hospital admission. Furthermore, HaH has the potential to improve patient outcomes, reduce costs and increase patient satisfaction. However, few studies have evaluated HaH in a Scandinavian setting, and this article describes the protocol for a randomised controlled trial (RCT) comparing an HaH model with continued conventional in-hospital admission. The main aim of the trial is to evaluate physical activity level and mental wellbeing in patients admitted at home compared with conventionally admitted patients. METHODS AND ANALYSIS: 110 clinically stable patients from two internal medical wards at Nordsjaellands Hospital in Denmark will be included and randomised in a ratio of 1:1 to either continued conventional in-hospital admission (control group) or virtual HaH model (intervention group). The control group will receive standard hospital treatment, and the intervention group will be transferred home for continued treatment (eg, intravenous antibiotics or oxygen treatment). The primary outcome measures are physical activity assessed using daily step count (during the first 24 hours after inclusion, as an intermediary indicator of the risk of adverse events) and treatment satisfaction (assessed using a patient satisfaction survey). Secondary outcome measures are adverse events of special interest, escalation of care, readmission rate postdischarge (30 days and 90 days), mortality (associated and 7 days, 30 days and 90 days postdischarge), process data (eg, the number of teleconsultations) and a health economic evaluation. ETHICS AND DISSEMINATION: The study was approved by the Danish Research Ethics Committees (no. 2303051) and the Danish Medicines Agency (CIV-23-03-042542) and will be monitored by the Copenhagen University Hospital Good Clinical Practice unit. Results will be published in peer-reviewed journals and presented at relevant national and international conferences. We also plan to communicate the results to relevant stakeholders in the Danish healthcare system. TRIAL REGISTRATION NUMBER: NCT05920304.

Indexed as

COVID-19Home Care Services, Hospital-BasedHospitalizationTelemedicineDenmarkExerciseFemaleHumansPatient SatisfactionRandomized Controlled Trials as TopicSARS-CoV-2AdministrationClinical ProtocolsPublic healthTelemedicine

Identifiers

PMID40374231
PMCPMC12083328

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.