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. 2024 Mar 5;2024(3):CD007491. doi: 10.1002/14651858.CD007491.pub3

Comparison 1. Admission avoidance hospital at home versus inpatient care.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1.1 Mortality at 3 months using IPD 3 420 mortality (IV, Fixed, 95% CI) 0.89 [0.55, 1.45]
1.2 Mortality at 6 months' follow‐up (using published data, and IPD from Wilson and Shepperd) 5 1502 Risk Ratio (IV, Fixed, 95% CI) 0.88 [0.68, 1.13]
1.3 Readmission to hospital after discharge from hospital at home or inpatient care (3 to 12 months' follow‐up) 8 1757 Risk Ratio (IV, Fixed, 95% CI) 1.14 [0.97, 1.34]
1.3.1 Readmission for older patients with a medical condition using IPD and published data. N=1856 8 1757 Risk Ratio (IV, Fixed, 95% CI) 1.14 [0.97, 1.34]
1.4 Transfer to hospital while receiving hospital at home 0   Other data No numeric data
1.5 Living in residential care at follow‐up 4 1271 Risk Ratio (IV, Fixed, 95% CI) 0.53 [0.41, 0.69]
1.5.1 With a medical condition (6 months' follow‐up) 4 1271 Risk Ratio (IV, Fixed, 95% CI) 0.53 [0.41, 0.69]
1.6 Quality of life/health status 9   Other data No numeric data
1.6.1 Admission avoidance quality of life 9   Other data No numeric data
1.7 Functional status 10   Other data No numeric data
1.7.2 Admission avoidance patients with a medical condition ‐ functional ability 10   Other data No numeric data
1.8 Psychological health 7   Other data No numeric data
1.8.1 admission avoidance ‐ cognitive function/well being 7   Other data No numeric data
1.9 Patient satisfaction 0   Other data No numeric data
1.10 Caregiver satisfaction 2   Other data No numeric data
1.10.1 Care giver satisfaction 2   Other data No numeric data
1.11 Health professional satisfaction 0   Other data No numeric data
1.12 Length of stay 11   Other data No numeric data
1.12.1 Hospital and hospital at home length of stay 11   Other data No numeric data
1.13 Cost and resource use 14   Other data No numeric data
1.13.1 Health service resources and costs 12   Other data No numeric data
1.13.2 Use of other social services 2   Other data No numeric data
1.13.3 Informal care inputs 2   Other data No numeric data
1.14 Clinical outcomes 7   Other data No numeric data
1.14.1 Clinical outcomes 7   Other data No numeric data