Hospital at home for patients with acute exacerbations of chronic obstructive pulmonary disease: systematic review of evidence

BMJ : British Medical Journal
Felix S F RamMichael Greenstone

Abstract

To evaluate the efficacy of hospital at home schemes compared with inpatient care in patients with acute exacerbations of chronic obstructive pulmonary disease (COPD). A systematic review of randomised controlled trials. Mortality and readmission to hospital. Seven trials with 754 patients were included in the review. Hospital readmission and mortality were not significantly different when hospital at home schemes were compared with inpatient care (relative risk 0.89, 95% confidence interval 0.72 to 1.12, and 0.61, 0.36 to 1.05, respectively). However, compared with inpatient care, hospital at home schemes were associated with substantial cost savings as well as freeing up hospital inpatient beds. Hospital at home schemes can be safely used to care for patients with acute exacerbations of COPD who would otherwise be admitted to hospital. Clinicians should consider this form of management, especially as there is increasing pressure for inpatient beds in the United Kingdom.

References

Feb 15, 2002·Australian Health Review : a Publication of the Australian Hospital Association·C NicholsonP O'Rourke
Feb 7, 2003·The European Respiratory Journal·C HernandezUNKNOWN CHRONIC project

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Citations

Mar 7, 2006·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Edward D MoloneyBernard Silke
Nov 19, 2010·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·O ZanioloM Miravitlles
Dec 17, 2009·Archives of Gerontology and Geriatrics·John Young
Jun 27, 2007·Journal of Palliative Medicine·Graeme M RockerPaul Hernandez
Dec 19, 2009·Current Opinion in Pulmonary Medicine·Nicolas RocheGérard Huchon
May 10, 2006·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Tracey Bucknall
Jun 2, 2006·Thorax·R Rodríguez-Roisin
Nov 9, 2006·Thorax·UNKNOWN British Thoracic Society Guideline Development Group
Jul 11, 2012·BMC Health Services Research·Emily J Henderson, Greg P Rubin
Dec 1, 2007·International Journal of Chronic Obstructive Pulmonary Disease·Tom Wilkinson, J A Wedzicha
Nov 30, 2007·International Journal of Chronic Obstructive Pulmonary Disease·Mahendran ChettyGraeme P Currie
May 14, 2009·International Journal of Chronic Obstructive Pulmonary Disease·Maria LawlorRory O'Donnell
Jan 8, 2010·International Journal of Environmental Research and Public Health·Gretl A McHughKaren A Luker
Mar 29, 2014·BMC Health Services Research·Tim LuckettPatricia M Davidson
Apr 30, 2013·Journal of the American Medical Directors Association·Mitja LainscakJerneja Farkas
Sep 5, 2009·Maturitas·Marie ChanJean-Yves Fourniols
Nov 10, 2006·Médecine et maladies infectieuses·K Faure
Jun 27, 2008·Journal of Clinical Nursing·Helga Jónsdóttir
Sep 22, 2006·Journal of Evaluation in Clinical Practice·Jean WooDiana T F Lee
Apr 18, 2013·European Journal of Clinical Investigation·Juan M PericásXavier Bosch
Jan 20, 2011·Respirology : Official Journal of the Asian Pacific Society of Respirology·Llifon EdwardsJustin Travers
Oct 12, 2010·Journal of the American Geriatrics Society·Nalaka S GooneratneAmy Corcoran
Dec 3, 2014·La Presse médicale·Stéphane JouneauBenoît Desrues
Dec 23, 2014·Respirology : Official Journal of the Asian Pacific Society of Respirology·Matthew MaddocksWilliam D-C Man
Apr 19, 2016·Disease-a-month : DM·Gautam Raju MehtaRachid Mohammed
Mar 7, 2007·Respiratory Medicine·Judith Garcia-AymerichJosep Roca
Sep 27, 2006·Respiratory Medicine·Simon J QuantrillC Michael Roberts
Apr 2, 2015·American Journal of Respiratory and Critical Care Medicine·Bartolome R CelliUNKNOWN ATS/ERS Task Force for COPD Research
Feb 18, 2012·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Jennifer ClelandIain Small
Sep 9, 2008·Respiratory Medicine·Rosalía Doménech-ClarElisa Soriano-Melchor
May 26, 2009·Atencion primaria·María Teresa García SanzLuís Valdés Cuadrado
Aug 28, 2010·Australian Health Review : a Publication of the Australian Hospital Association·Michael MontaltoKatherine Woodmason

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