Rapid Response Home Care as an Alternative to Acute Admission

This single-center, randomized, unblinded quality-improvement study evaluates whether a structured home-based rapid response team (RRT) intervention can safely reduce total hospital days among adults referred to the emergency department with suspected infection. Patients referred from general practitioners or the regional medical helpline (1813) between 09:00 and 22:00 are randomized 1:1 using Zelen's design to either standard in-hospital evaluation or a home-based assessment pathway delivered by a mobile clinical response team.

Inclusion Criteria: * Age 18 years or older * Referred with suspected infection * Patients must be able to provide informed consent * Category C or D transports (non-emergency patient transport) and self-transported patients Exclusion Criteria: * Category A and B transport (emergency and urgent patient transport) * Suspected meningitis * Suspected sepsis * Suspected tropical disease * Suspected other time-critical infection * Immunodeficiency * Ongoing treatment with immunosuppressive/immunomodulating/chemotherapy treatment