Related Experiment Video
Updated: Mar 15, 2026
06:52
Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
10.8K
Admission avoidance hospital at home
Sasha Shepperd1, Steve Iliffe, Helen A Doll
1Nuffield Department of Population Health, University of Oxford, Rosemary Rue Building, Old Road Campus, Headington, Oxford, Oxfordshire, UK, OX3 7LF.
The Cochrane Database of Systematic Reviews
|September 2, 2016
Summary
Hospital at home care offers an alternative to inpatient treatment, with similar mortality rates but potentially reduced residential care needs. This approach may be more cost-effective for select elderly patients, though evidence is limited.
Area of Science:
- Healthcare Management
- Geriatric Medicine
- Health Services Research
Background:
- Hospital at home provides acute care in a patient's home, avoiding inpatient admission.
- This is the third update of a review examining hospital at home effectiveness and cost.
Purpose of the Study:
- To determine the effectiveness and cost of hospital at home versus inpatient hospital care.
Main Methods:
- Systematic review and meta-analysis of 16 randomized controlled trials (RCTs) involving 1814 participants.
- Searched multiple databases (CENTRAL, MEDLINE, EMBASE) and trials registers up to March 2016.
- Assessed risk of bias and certainty of evidence using the GRADE approach.
Main Results:
- Hospital at home showed little to no difference in mortality (RR 0.77) or hospital transfer likelihood (RR 0.98) at six months.
- A significant reduction in living in residential care was observed (RR 0.35), with potentially improved patient satisfaction.
- When excluding informal care costs, hospital at home may be less expensive, with variable effects on length of hospital stay.
Conclusions:
- Hospital at home may be an effective alternative to inpatient care for select elderly patients.
- The evidence is limited by small RCTs, leading to imprecision in outcome results.
More Related Videos
Related Concept Videos
01:29Documentation in Long-Term and Home Healthcare Setting
1.6K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.6K
01:21Planning Nursing Care I
6.3K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
6.3K
01:31Discharge Summary Forms
1.3K
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
1.3K
00:59Hospitals-II
1.2K
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
1.2K
01:10Documentation of Nursing Diagnosis
1.9K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.9K
01:18Guidelines and Strategies for Safe Computer Charting
3.0K
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
3.0K