Cochrane · systematic review · CD007491
Admission avoidance hospital at home
Edgar, K, Iliffe, S, Doll, HA, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library
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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 28.6%Moderate 5 · 71.4%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
Current version onlyAdmission avoidance hospital at home compared with inpatient admission for older people requiring admission to hospital
Population: older people requiring hospital admission
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality (6 months' Admission avoidance hospital at home vs inpatient admission | RR 0.88 [0.68, 1.13] | 5 studies · 1502 participants | Moderate Downgraded: risk of bias, imprecision, indirectness |
Admission to hospital (3 to 12 months' Admission avoidance hospital at home vs inpatient admission | RR 1.14 | 8 studies · 1757 participants | Moderate Downgraded: risk of bias, imprecision, indirectness |
Living in residential care at Admission avoidance hospital at home vs inpatient admission | RR 0.53 [0.41, 0.69] | 4 studies · 1271 participants | Moderate Downgraded: risk of bias, imprecision, indirectness |
Patient self‐reported health status Admission avoidance hospital at home vs inpatient admission | no estimate extracted | 9 studies · 2006 participants | Moderate Downgraded: risk of bias, imprecision, indirectness |
Patient satisfaction Admission avoidance hospital at home vs inpatient admission | no estimate extracted | 8 studies · 1812 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Length of stay in hospital and hospital at home Admission avoidance hospital at home vs inpatient admission | no estimate extracted | 11 studies · 2036 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Cost and resource use Admission avoidance hospital at home vs inpatient admission | no estimate extracted | 12 studies · 2148 participants | Moderate Downgraded: risk of bias, imprecision, indirectness |
Admission avoidance hospital at home compared with inpatient admission for older people requiring admission to hospital
Population: Older people requiring hospital admission
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Transfer (or readmission) to hospital for patients with a medical condition using individual patient data and published data (3 to 12 months' Admission avoidance hospital at home vs inpatient admission | RR 0.98 [0.77, 1.23] | 7 studies · 834 participants | Moderate Downgraded: risk of bias, inconsistency |
Mortality at 6 months' Admission avoidance hospital at home vs inpatient admission | RR 0.77 [0.6, 0.99] | 6 studies · 912 participants | Moderate Downgraded: risk of bias, inconsistency |
Living in an institutional setting at 6 months' Admission avoidance hospital at home vs inpatient admission | RR 0.35 [0.22, 0.57] | 5 studies · 727 participants | Low Downgraded: risk of bias, inconsistency |
Patient satisfaction Admission avoidance hospital at home vs inpatient admission | no estimate extracted | 5 studies · 646 participants | Low Downgraded: risk of bias, inconsistency |
Hospital and hospital at home length of stay Admission avoidance hospital at home vs inpatient admission | no estimate extracted | 7 studies · 714 participants | Low Downgraded: risk of bias, inconsistency |
Cost Admission avoidance hospital at home vs inpatient admission | no estimate extracted | 2 studies · 287 participants | Low Downgraded: risk of bias, inconsistency |