Key result
Hospital at home compared with in-patient care showed no significant difference in mortality for elderly medical patients (OR 1.79; 95% CI 0.85-3.76), COPD patients, or stroke patients.
Why the study?
Does hospital at home care improve clinical outcomes and reduce costs compared to in-patient hospital care in adult patients?
Systematic Review
Does hospital at home care improve clinical outcomes and reduce costs compared to in-patient hospital care in adult patients?
Effect estimate: OR 1.79 (95% CI 0.85-3.76)
Hospital at home early discharge schemes reduce hospital length of stay and improve patient satisfaction, but increase overall length of care without clear economic benefit or significant differences in mortality or readmission.
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No mortality difference supports hospital-at-home safety in these groups; extends prior Cochrane evidence on inpatient alternatives.
Shepperd et al. (2005) conducted a systematic review in Conditions requiring acute hospital in-patient care. Hospital at home vs. Acute hospital in-patient care was evaluated on Mortality (elderly medical patients) (OR 1.79, 95% CI 0.85-3.76). Hospital at home compared with in-patient care showed no significant difference in mortality for elderly medical patients (OR 1.79; 95% CI 0.85-3.76), COPD patients, or stroke patients.
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