Study | Reason for exclusion |
Bonnema 1998 | RCT This study evaluated early discharge from hospital of women following surgery for breast cancer; no hospital at home was provided |
Brooten 1994 | RCT Obstetrics (this group of patients was not included in the review) |
Bundred 1998 | RCT This study evaluated early discharge from hospital of women following surgery for breast cancer; no hospital at home was provided |
Cummings 1991 | Review Review of home care as a substitute for nursing home care |
Farnworth 1994 | Non randomised study design |
Gerson 1976 | RCT No standard measures of outcome used. A physician, not blind to the patients’ group assignment, assessed clinical function. No criteria were used to define an untoward event. No intention to treat analysis, data were analysed by the care the patient received |
Hansen 1992 | RCT This study did not evaluate hospital at home, but a model for follow-up visits at home after discharge from hospital |
Hedrick 1986 | Review This review examined the different types of home care that are provided |
Hernandez 2003 | RCT 39% of those allocated to hospital care were not admitted to hospital, therefore the degree to which the intervention substituted for hospital care is not clear |
Hill 1978 | RCT This study evaluated hospital at home care for patients with a myocardial infarction. Managing this group of patients totally at home is now obsolete as thrombolytic therapy has made admission to hospital necessary |
Klettke 1999 | Cross over design |
Koopman 1996 | RCT This study compared patients treated with intravenous standard heparin administered in hospital with fixed dose subcutaneous low-molecular weight heparin administered at home, when feasible. Patients were taught to self-administer the low molecular weight heparin. Care was not provided in the patients’ homes by a team of health care professionals; the intervention was not therefore considered hospital at home |
Levine 1996 | RCT This study compared the use of intravenous standard heparin administered in the hospital with the administration of subcutaneous low molecular weight heparin primarily at home. The study nurse taught the patient to administer the medication. Care was not provided in the patients’ homes by a team of health care professionals; the intervention was not therefore considered hospital at home |
Magid 1989 | RCT This trial recruited 22 patients to compare the acceptance of in-patient with home continuous intravenous infusion of chemotherapy. While in hospital patients were instructed on the use of the infusors before discharge. The infusion was delivered in a continuous flow over 24 hours and new defusers were attached by the patient. Care was not provided in the patients’ homes by a team of health care professionals. The intervention was not therefore considered hospital at home as no additional services were provided |
Mather 1976 | RCT This study evaluated hospital at home care for patients with a myocardial infarction. Managing this group of patients totally at home is now obsolete as thrombolytic therapy has made admission to hospital necessary |
Melin 1992 | RCT Recruited patients with long term care needs. Hospital at home was a substitute for long term care |
Melin 1993 | RCT Recruited patients with long term care needs. Hospital at home was a substitute for long term care |
Romano 1991 | RCT Compares therapies at home, no comparison with hospital care |
Ronning 1998 | RCT In-patient hospital rehabilitation compared with rehabilitation provided by the municipalities in a variety of settings which included nursing home rehabilitation on an in patient or out-patient basis, and further ambulatory rehabilitation by a visiting physical therapist, speech therapist and/or nurse. Primary care also provided |
Stone 1968 | CCT A controlled trial -control patients were selected to match the home care patients |
Wade 1985 | CCT Compared two districts - one with a domiciliary stroke service and one without |
Williams 1981 | RCT Patients were randomly allocated to 24 hour bed rest in hospital or mobilisation at home following intra-articular irradiation of the knee with yttrium-90. No additional services were provided at home |
Wolter 2004 | RCT Intravenous therapy, analysis based on number of readmissions, data not provided on number of people readmitted. Authors contacted, no reply |
Zimmer 1984 | RCT Evaluated the effectiveness of a home care programme for home bound chronically ill patients. The home care programme was not a substitute for in-patient hospital care, but an addition to existing community services |
Zimmer 1985 | RCT Evaluated the effectiveness of a home care programme for home bound chronically ill patients. The home care programme was not a substitute for in-patient hospital care, but an addition to existing community services |
CCT = controlled clinical trial
RCT = randomised controlled trial