1.8. Analysis.
Comparison 1: Admission avoidance hospital at home versus inpatient care, Outcome 8: Psychological health
| Psychological health | ||
| Study | Outcomes | Results |
| admission avoidance ‐ cognitive function/well being | ||
| Caplan 1999 | Mental status questionnaire score from admission to discharge (maximum score 10); Number with confusion | Mean (SEM) T= 0.43 (0.12), C= 0.27 (0.12), NS Number with confusion T=0/51, C=10/49 |
| Echevarria 2018 | Hospital Anxiety and Depression Scale score (HADS) | Number analysed: T=60; C=58 HADS ‐ Anxiety, 14 day (IQR), median unit change from baseline T = ‐1.0 (‐3 to 1.75) C = 0.5 (‐3 to 2) HADS ‐ Anxiety, 90 day (IQR), median unit change from baseline T = 0 (‐2 to 3) C = 0 (‐3 to 2) HADS ‐ Depression, 14 day (IQR), median unit change from baseline T = ‐1.0 (‐3 to 1) C = 0 (‐2 to 3) HADS ‐ Depression, 90 day (IQR), median unit change from baseline T = ‐0.5 (‐3 to 1.25) C = 0 (‐2 to 3) |
| Ricauda 2004 | Change in geriatric Depression Scale score (range 0‐30) higher scores indicate depression (people recovering from a stroke) | At 6 months, median IQR T=10 (5 to 15), C=17 (13 to 20) p<0.001 |
| Ricauda 2008 | Change in geriatric Depression Scale score (range 0‐30) higher scores indicate depression (people with COPD) | At 6 months, mean (SD) T= ‐3.1 (4.7), C=0.7 (3.2), P < 0.001 |
| Shepperd 2021 | Montreal Cognitive Assessment (MoCA) score (range 0‐30) Confusion Assessment Method (CAM) (Y/N for delirium) |
At 6 months (%) T: Abnormal (score of <26): 273/407 (67.1) Normal (score of >=26): 134/183 (32.9) C: Abnormal: 115 (62.8) Normal: 68 (37.2) Adjusted RR (95% CI): 1.06 (0.93, 1.21) P = 0.36 CAM (presence/absence of delirium) (%) 3 days T = 25/645 (3.9) C = 11/312 (3.5) RR: 1.12 (0.54, 2.29) P=0.76 5 days T = 17/638 (2.7) C = 9/308 (3.0) RR: 0.93 (0.34, 2.47) P=0.87 1 month T = 10/602 (1.7) C = 13/297 (4.4) Relative risk: 0.38 (0.19, 0.76) P=0.006 |
| Tibaldi 2009 | Mini Mental State Exam (MMSE) Geriatric Depression Scale |
At 6 months, mean change (SD) T= +0.07 (1.38), C= +0.08 (1.36), P = 0.97 At 6 months, mean change (SD) T= +1.48 (1.86), C= +0.12 (3.36), P = 0.02 |
| Wilson 1999 | Philadelphia Geriatric Morale Scale | At 3 months, median (IQR) T= 37 (30‐42), C= 37 (31‐43), Difference 0, 95% CI ‐4.1 to 4.1 |