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Review: admission avoidance hospital at home decreases mortality at 6 months but does not differ from inpatient care for readmission

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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 …

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