TREATMENT
Review: admission-avoidance hospital-at-home decreases mortality at 6 months but does not differ from inpatient care for readmission
| The first 150 words of the full text of this article appear below. |
How does admission-avoidance hospital-at-home (HAH) compare with inpatient hospital care for various outcomes?
Included studies compared admission-avoidance HAH (time-limited active treatment by healthcare professionals for acute conditions in patients’ homes, without which patients would be admitted to an acute care hospital ward) with acute inpatient hospital care in patients 
18 years of age. Studies of obstetric, paediatric, mental health, and long-term care services; services in outpatient settings or after hospital discharge; or patient self-care at home were excluded. Outcomes included mortality, hospital readmission, functional ability, cognitive ability, quality of life, and patient satisfaction.
Medline, CINAHL, EMBASE/Excerpta Medica, EconLit, Cochrane Effective Practice and Organisation of Care Group register, and reference lists were searched to January 2008 for randomised controlled trials (RCTs); researchers were contacted. 10 RCTs (n = 1333) met the selection criteria.
Meta-analysis showed that admission-avoidance HAH decreased mortality at 6 months compared with inpatient care (table). Groups did not
Oregon Health and Sciences University Portland, Oregon, USA
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