Key result
Avoiding hospital admission through the provision of hospital care at home significantly reduced mortality at 6 months (HR 0.62) compared to inpatient care for selected patients.
Why the study?
Does hospital care at home reduce mortality and hospital admissions compared to inpatient care in patients requiring acute hospital admission?
Population
10 randomized trials in systematic review, 5 trials in meta-analysis. Patients aged 18 years and older with…
Comparison
Hospital care at home vs Inpatient care in an acute care hospital
Design
Meta-analysis, Randomized controlled trials, Blinded assessment of outcome was…
Follow-up
1 week to 12 months
Authors
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Supports hospital-at-home for selected acute patients; confirms mortality benefit and extends evidence for scalable alternatives to inpatient care.
Meta-Analysis (n=1,327)
Yes
Does hospital care at home reduce mortality and hospital admissions compared to inpatient care in patients requiring acute hospital admission?
Effect estimate: HR 0.62 (95% CI 0.45-0.87)
p-value: p=0.005
For selected patients, avoiding admission through provision of hospital care at home yields similar or better mortality outcomes and greater patient satisfaction compared to inpatient care, at a similar or lower cost.
Shepperd et al. (2009) conducted a meta-analysis in Acute medical conditions requiring hospital admission (n=1,327). Hospital care at home vs. Inpatient hospital care was evaluated on Mortality at 6 months (HR 0.62, 95% CI 0.45-0.87, p=0.005). Avoiding hospital admission through the provision of hospital care at home significantly reduced mortality at 6 months (HR 0.62) compared to inpatient care for selected patients.
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