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

Nicholson 2001.

Study characteristics
Methods Parallel randomised trial
Study conducted between October 1999 and October 2000.
Participants Setting: Australia
Patients with COPD
Inclusion criteria: age > 45 years, COPD, current or ex‐smoker, FEV1 < 60% predicted, admission requested by GP or OPD clinic staff or ED staff, telephone at home
Number recruited: hospital at home: 13; hospital: 12
Interventions Hospital at home (discharge from emergency department)
Patients retained in patient status and received clinical supervision from hospital specialist, and hospital had legal and financial responsibility; also received care from GP, community nursing, and domiciliary care. Hospital medical staff provided 24‐hour telephone support.
Outcomes Cost to the health service
Notes Follow‐up: duration of care in hospital at home or inpatient care
Funding: the Commonwealth Department of Health and Aged Care, National Demonstration Hospitals Program Phase 3
Conflicts of interest: not reported
Ethical approval: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Random sequence generation not described
Allocation concealment (selection bias) Unclear risk Allocation concealment not described
Baseline outcome measurements (selection bias) Unclear risk Baseline outcome measurements not reported
Baseline characteristics (selection bias) Unclear risk Baseline characteristics of the study and control groups not reported
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Blinding of participants and personnel not possible
Blinding of outcome assessment (detection bias)
Subjective outcomes Unclear risk None reported
Blinding of outcome assessment (detection bias)
Objective outcomes Low risk Low risk for resource use and cost
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Insufficient information to allocate low or high risk
Selective reporting (reporting bias) Unclear risk Insufficient information to allocate low or high risk