Cochrane · systematic review · CD000356
Early discharge hospital at home
Gonçalves-Bradley, DC, Iliffe, S, Doll, HA, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
18
current version
GRADE rated
17
No studies
1
Included studies
NR
No studies 1 · 5.6%Ungraded 0 · 0%Very low 3 · 16.7%Low 8 · 44.4%Moderate 6 · 33.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Effect of early discharge hospital at home for patients recovering from a stroke
Population: patients recovering from a stroke who otherwise would require acute hospital inpatient care
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality (3 ‐ 6 month | RR 0.92 [0.57, 1.48] | 11 studies · 1114 participants | Moderate Downgraded: imprecision |
Hospital readmission (3 ‐ 6 month | RR 1.09 [0.71, 1.66] | 5 studies · 345 participants | Low Downgraded: imprecision |
Living in an institutional setting (3 ‐ 6 month | RR 0.63 [0.4, 0.98] | 4 studies · 574 participants | Low Downgraded: imprecision |
Patient satisfaction | no estimate extracted | 6 studies · 795 participants | Low Downgraded: imprecision |
Hospital length of stay | no estimate extracted | 4 studies · 528 participants | Moderate Downgraded: imprecision |
Cost | no estimate extracted | 4 studies · 664 participants | Very low Downgraded: imprecision, inconsistency |
Effect of early discharge hospital at home for patients with a mix of conditions
Population: older patients with a mix of conditions who otherwise would require acute hospital inpatient care
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality | RR 1.07 [0.76, 1.49] | 8 studies · 1247 participants | Moderate Downgraded: imprecision |
Hospital readmission | RR 1.25 [0.98, 1.58] | 9 studies · 1276 participants | Moderate Downgraded: imprecision |
Living in an institutional setting (mix of conditions) at 1‐year | RR 0.69 [0.48, 0.99] | 3 studies · 484 participants | Low Downgraded: imprecision |
Patient satisfaction | no estimate extracted | 6 studies · 900 participants | Low Downgraded: imprecision |
Hospital length of stay | no estimate extracted | 7 studies · 767 participants | Moderate Downgraded: imprecision |
Cost | no estimate extracted | 8 studies · 1369 participants | Very low Downgraded: imprecision, inconsistency |
Effect of early discharge hospital at home for patients recovering from surgery
Population: patients recovering from surgery who otherwise would require acute hospital inpatient care
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality | no estimate extracted | 3 studies · 856 participants | Low Downgraded: imprecision, inconsistency |
Hospital readmission | no estimate extracted | 5 studies · 1229 participants | Low Downgraded: imprecision, inconsistency |
Living in an institutional setting | no estimate extracted | NR | No studies |
Patient satisfaction | no estimate extracted | 5 studies · 1229 participants | Low Downgraded: imprecision, inconsistency |
Hospital length of stay (patients recovering from orthopaedic surgery) | no estimate extracted | 4 studies · 411 participants | Moderate Downgraded: imprecision |
Cost | no estimate extracted | 5 studies · 1129 participants | Very low Downgraded: imprecision, inconsistency |