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Review: admission-avoidance hospital-at-home decreases mortality at 6 months but does not differ from inpatient care for readmission

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QUESTION

How does admission-avoidance hospital-at-home (HAH) compare with inpatient hospital care for various outcomes?

REVIEW SCOPE

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.

REVIEW METHODS

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 …

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