Status:
NOT_YET_RECRUITING
Emergency Department Linkage to Care for Patients Experiencing Homelessness
Lead Sponsor:
Denver Health and Hospital Authority
Conditions:
Homelessness
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
In an effort to improve access to primary care at time of discharge, patients who are homeless will be given either enhanced follow up through a street medicine team or routine follow up in clinic.
Detailed Description
Patients who experience homelessness frequently utilize the ED, but lack follow up primary care. In an effort to augment access to post-ED primary care, the investigators propose a quasi-experimental ...
Eligibility Criteria
Inclusion
- adult (≥18 years of age) DHMC ED patient,
- currently unsheltered, defined as living on the streets, in a vehicle, or in another place not fit for human habitation,
- anticipating ED discharge, with
- a diagnosis listed below that requires short-term follow up:
- COPD or asthma exacerbation
- Bacterial or viral pneumonia
- CHF with volume overload
- SSTI
- Dehydration requiring IV fluids
- Hyperglycemia secondary to DM
- Frostbite
- First- and second-degree burns
- Bacterial ENT infections
- Diabetic foot infection
- Traumatic head injury
- Pregnancy
- Opioid overdose
- a stable location (i.e., an intersection, landmark, or encampment where they can be located by the street medicine team) within Denver County for at least 2 weeks.
Exclusion
- have altered mentation (e.g., intoxication, or secondary to medical, psychiatric, or behavioral conditions) that are unable to communicate their location, contact information, or agree to follow up.
- are prisoners,
- previously enrolled.
Key Trial Info
Start Date :
December 5 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 1 2027
Estimated Enrollment :
390 Patients enrolled
Trial Details
Trial ID
NCT07209072
Start Date
December 5 2025
End Date
December 1 2027
Last Update
December 2 2025
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