Key result
Substitutive hospital-at-home care for elderly patients with acute COPD exacerbations significantly reduced hospital readmissions at 6 months compared to inpatient care (42% vs 87%, P<.001).
Why the study?
Does physician-led substitutive hospital-at-home care reduce hospital readmission rates and mortality in elderly patients with acute exacerbations of COPD?
Population
104 elderly patients admitted to the hospital for acute exacerbation of chronic obstructive pulmonary disease
Comparison
Geriatric home hospitalization service /… vs Inpatient care in a general medical ward (GMW)
Design
RCT, Randomly assigned, Single-blind
Follow-up
6 months
Authors
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Supports hospital-at-home substitution for eligible elderly COPD exacerbations; extends RCT evidence for reduced readmissions.
RCT (n=104)
Single-blind
randomly assigned
No
Does physician-led substitutive hospital-at-home care reduce hospital readmission rates and mortality in elderly patients with acute exacerbations of COPD?
Absolute Event Rate: 42% vs 87%
p-value: p=<.001
Physician-led hospital-at-home care for elderly patients with COPD exacerbations significantly reduces 6-month hospital readmissions and healthcare costs while improving quality of life compared to standard inpatient care.
Ricauda et al. (2008) conducted an RCT in Acute exacerbation of chronic obstructive pulmonary disease (COPD) (n=104). Geriatric home hospitalization service (GHHS) vs. General medical ward (GMW) was evaluated on Hospital readmission at 6 months (p=<.001). Substitutive hospital-at-home care for elderly patients with acute COPD exacerbations significantly reduced hospital readmissions at 6 months compared to inpatient care (42% vs 87%, P<.001).