Participants |
Patients who had an estimated life expectancy of < 6 months were recruited. Patients |
|
requiring terminal care (73% in the intervention group had a diagnosis of cancer and 80% in the control group). |
|
Number of patients in 3 years: |
|
Treatment = 83 |
|
Control = 85 |
|
Average age: |
|
Treatment: = 65.7 years |
|
Control = 63.3 years |
|
Interventions |
Hospital at home |
|
Type of service: physician-led |
|
Skill mix and size of team: nurses; 1 physiotherapist; 1 dietitian; 1 social worker; health technicians |
|
Control group: inpatient hospital care |
|
Outcomes |
Mortality |
|
Functional status |
|
Psychological well-being |
|
Cognitive status |
|
Patient satisfaction |
|
Readmission |
|
Cost |
|
Inpatient hospital days |
|
Use of other health services |
|
Carer satisfaction |
|
Carer morale |
|
Follow up: |
|
1 month |
|
6 months |
|
Notes |
US study |
|
Risk of bias
|
|
Bias
|
Authors’ judgement
|
Support for judgement
|
|
Random sequence generation (selection bias) |
Unclear risk |
Not described |
|
Allocation concealment (selection bias) |
Unclear risk |
Not described |
|
Blinding (performance bias and detection bias) |
High risk |
|
All outcomes |
|
|
|
Incomplete outcome data (attrition bias) |
Low risk |
All stated outcomes reported |
All outcomes |
|
|
|
Baseline measures |
Low risk |
|