Table 1. Characteristics of Included Studies for HaH and In-Hospital Groups.
Source | Design | Patient illness | What and who is involved in the HaH intervention | Outcomes measured | HaH group characteristicsa | In-hospital group characteristics |
---|---|---|---|---|---|---|
Mendoza et al,34 2009 Spain | Prospective randomized controlled trial | CHF | Home visits by internal medicine specialist and nurse. Other HCP involved: not specified | Mortality; readmission; functional status; quality of life. Lengthb,c of follow-up: 12 mo | 37 patients; mean age 78 y; 51% women | 34 patients; mean age 80 y; 29% women |
Ricauda et al,38 2008 Italy | Prospective randomized controlled single-blind | COPD | Home visits by physicians and nurses. Other HCP involved: geriatricians, physiotherapists, social worker, and counselor | Mortality; morbidity; readmission; depression, functional status, nutritional status, cognitive status; quality of life; caregiver stress; satisfaction. Length of follow-up: 6 mo | 52 patients; mean age 80 y; 44% women | 52 patients; mean age 79 y; 25% women |
Ricauda et al,39 2004 Italy | Randomized, controlled, single-blind trial | Ischemic Stroke | Home visit by nurse, physician, and physical therapist. Other HCP involved: geriatricians, dietitians, physiotherapists, speech therapists, occupational therapists, psychologists, and social workers | Mortality; functional impairment; depression; morbidity; length of treatment; readmission; neurologic deficit. Length of follow-up: 6 mo | 60 patients; median age 83 y; 62% women | 60 patients; median age 80 y; 48% women |
Tibaldi et al,40 2009 Italy | Prospective, single-blind, randomized controlled trial | CHF | Home visits by physician and nurse. Other HCP involved: geriatricians, physiotherapists, social worker, and counselor | Mortality; morbidity readmission; length of treatment; caregiver stress. Length of follow-up: 6 mo | 48 patients; mean age 82 y; 54% women | 53 patients; mean age 80 y; 43% women |
Levine et al,36 2018 United States | Randomized controlled trial | CHF, COPD, or asthma | Home visits by general internist and nurse. Other HCP involved: not specified | Mortality; length of treatment; readmission; morbidity; satisfaction. Length of follow-up: 1 mo | 9 patients; median age 65 y; 22% women | 11 patients; median age 60 y; 73% women |
Davies et al,42 2000 England | Prospective Randomized controlled trial | COPD | Home visits by nurses. Other HCP involved: hospital respiratory physician | Mortality; readmission; quality of life. Length of follow-up: 3 mo | 100 patients; mean age 70 y; 55% women | 50 patients; mean age 70 y; 40% women |
Vianello et al,37 2013 Italy | Prospective Randomized Controlled trial | Neuromuscular disease | Home visit by district nurse, respiratory therapist, or pulmonologist. Other HCP involved: general physician, and trained caregiver | Mortality. Length of follow-up: 3 mo | 26 patients; mean age 45 y; 35% women | 27 patients; mean age 47 y; 11% women |
Hernandez et al,41 2003 Spain | Randomized controlled trial | COPD | Home visit by respiratory nurse. Other HCP involved: respiratory physician | Quality of life; mortality; readmission. Length of follow-up: 2 mo | 121 patients; mean age 71 y; 3% women | 101 patients; mean age 71 y; 3% women |
Echevarria et al,35 2018 England | Noninferiority randomized controlled trial | COPD | Home visits by respiratory specialist nurse. Other HCP involved: respiratory consultant, pharmacist, occupational therapist, physiotherapist, and social support | Mortality; readmission; depression and anxiety; quality of life; length of treatment. Length of follow-up: 3 mo | 60 patients; mean age 71 y; 53% women | 58 patients; mean age 69 y; 52% women |
Abbreviations: CHF, chronic heart failure; COPD, chronic obstructive pulmonary disease; HaH, hospital-at-home; HCP, health care professional.
Number of patients counted at baseline.
Length of treatment defined as number of days in HaH for the experimental group and the number of in-hospital days for the control group.
Length of follow-up was defined as the number of months for which outcome data was collected for both HaH and in-hospital groups.