THERAPEUTICS
Review: admission avoidance hospital at home decreases mortality at 6 months but does not differ from inpatient care for readmission
| The first 150 words of the full text of this article appear below. |
QUESTION
How does admission avoidance hospital at home (HAH) compare with inpatient hospital care for various outcomes?
REVIEW SCOPE
Included studies compared admission avoidance HAH (time-limited active treatment by healthcare professionals for acute conditions in patients’ homes) with acute inpatient hospital care in patients 
18 years of age. Studies of obstetric, paediatric, mental health, and long-term care services; services in outpatient settings or postdischarge from hospital; or patient self-care at home were excluded. Outcomes included mortality, hospital readmission, functional ability, cognitive ability, quality of life, and patient satisfaction.
REVIEW METHODS
Medline, CINAHL, EMBASE/Excerpta Medica, EconLit, Cochrane Effective Practice and Organisation of Care Group register, and reference lists were searched to January 2008 and researchers were contacted for randomised controlled trials (RCTs). 10 RCTs (n = 1333) met the selection criteria.
MAIN RESULTS
Meta-analysis showed that admission avoidance HAH decreased mortality at 6 months compared with inpatient care (table). Groups did not differ for mortality at 3 months,
Brigham and Women’s Hospital-Harvard Medical School, Boston, Massachusetts, USA
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