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

Richards 2005.

Study characteristics
Methods Parallel randomised trial
Study conducted between July 2002 and October 2003.
Participants Setting: New Zealand
Patients with community‐acquired pneumonia
Age: T: 50.1, C: 49.8
Number recruited: hospital at home: 24; hospital: 25
Interventions Hospital at home: admission avoidance from emergency room. Run by Pegasus Health, an independent practitioner's association for 230 GPs in Christchurch, New Zealand.
Care provided by GP and community care nursing staff.
Outcomes Median number of days to discharge, days of IV antibiotics, functional outcomes, mortality, readmission, patient satisfaction, costs
Notes Follow‐up: 2 and 6 weeks
Funding: not reported
Conflicts of interest: none reported
Ethical approval: local ethics committee Canterbury Ethics Committee, Christchurch, New Zealand
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated random numbers
Allocation concealment (selection bias) Low risk Telephone randomisation
Baseline outcome measurements (selection bias) Low risk Baseline outcome measurements done prior to intervention for functional outcomes; no relevant differences found
Baseline characteristics (selection bias) Low risk Baseline characteristics of the study and control groups are reported and are similar
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 Patient‐rated symptoms, satisfaction
Blinding of outcome assessment (detection bias)
Objective outcomes Unclear risk Days on IV antibiotics, admissions extracted from clinical records
Incomplete outcome data (attrition bias)
All outcomes Unclear risk 6 exclusions after randomisation, no loss to follow‐up
Selective reporting (reporting bias) Unclear risk Insufficient information to allocate low or high risk