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. Author manuscript; available in PMC: 2014 May 27.
Published in final edited form as: Cochrane Database Syst Rev. 2011 Jul 6;(7):CD009231. doi: 10.1002/14651858.CD009231
Methods RCT
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