Trial reportBMJ (Clinical research ed.)1999
Randomised controlled trial of effectiveness of Leicester hospital at home scheme compared with hospital care.
Trial report in BMJ (Clinical research ed.), 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Virtual healthcare compared to hospital care for acute and post-acute illness in adults: A systematic review and meta-analysis of randomized controlled trials.British journal of clinical pharmacology · 2026Pooled it
- Supporting older people through Hospital at Home care: a systematic review of patient, carer and healthcare professionals' perspectives.Age and ageing · 2025Pooled it
- Inpatient-level care at home delivered by virtual wards and hospital at home: a systematic review and meta-analysis of complex interventions and their components.BMC medicine · 2024Pooled it
- Admission avoidance hospital at home.The Cochrane database of systematic reviews · 2024Pooled it
- Factors influencing the implementation of early discharge hospital at home and admission avoidance hospital at home: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2024Pooled it
- Hospital at home for acute exacerbations of chronic obstructive pulmonary disease.The Cochrane database of systematic reviews · 2012Pooled it
- Avoiding hospital admission through provision of hospital care at home: a systematic review and meta-analysis of individual patient data.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2009Pooled it
- Admission avoidance hospital at home.The Cochrane database of systematic reviews · 2008Pooled it
- Hospital at home for patients with acute exacerbations of chronic obstructive pulmonary disease: systematic review of evidence.BMJ (Clinical research ed.) · 2004Pooled it
- Admission rates in a general practitioner-based versus a hospital specialist based, hospital-at-home model: ACCESS, an open-labelled randomised clinical trial of effectiveness.Scandinavian journal of trauma, resuscitation and emergency medicine · 2018Trial
- Feasibility study for early supported discharge in adults with respiratory infection in the UK.BMC pulmonary medicine · 2014Trial
- Patient and carer satisfaction with 'hospital at home': quantitative and qualitative results from a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Trial
- Economic evaluation of hospital at home versus hospital care: cost minimisation analysis of data from randomised controlled trial.BMJ (Clinical research ed.) · 1999Trial
- Cost of home hospitalization versus inpatient hospitalization inclusive of a 30-day post-acute period.Journal of the American Geriatrics Society · 2022Observational
- Health, social care and technological interventions to improve functional ability of older adults living at home: An evidence and gap map.Campbell systematic reviews · 2021Article
- Hospital avoidance: an integrated community system to reduce acute hospital demand.Primary health care research & development · 2019Article
- The effect of adapting Hospital at Home to facilitate implementation and sustainment on program drift or voltage drop.BMC health services research · 2019Observational
- Admission avoidance hospital at home.The Cochrane database of systematic reviews · 2016Review
- Home care--a safe and attractive alternative to inpatient administration of intensive chemotherapies.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2012Article
- Intermediate care for older people in the U.K.Clinical medicine (London, England) · 2010Article
Corrections and comments
- Commented on by
- Commented on by
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare effectiveness of patient care in hospital at home scheme with hospital care.
designPragmatic randomised controlled trial.
settingLeicester hospital at home scheme and the city's three acute hospitals.
participants199 consecutive patients referred to hospital at home by their general practitioner and assessed as being suitable for admission. Six of 102 patients randomised to hospital at home refused admission, as did 23 of 97 allocated to hospital.
interventionHospital at home or hospital inpatient care.
main outcome measuresMortality and change in health status (Barthel index, sickness impact profile 68, EuroQol, Philadelphia geriatric morale scale) assessed at 2 weeks and 3 months after randomisation. The main process measures were service inputs, discharge destination, readmission rates, length of initial stay, and total days of care.
resultsHospital at home group and hospital group showed no significant differences in health status (median scores on sickness impact profile 68 were 29 and 30 respectively at 2 weeks, and 24 and 26 at 3 months) or in dependency (Barthel scores 15 and 14 at 2 weeks and 16 for both groups at 3 months). At 3 months' follow up, 26 (25%) of hospital at home group had died compared with 30 (31%) of hospital group (relative risk 0. 82 (95% confidence interval 0.52 to 1.28)). Hospital at home group required fewer days of treatment than hospital group, both in terms of initial stay (median 8 days v 14.5 days, P=0.026) and total days of care at 3 months (median 9 days v 16 days, P=0.031).
conclusionsHospital at home scheme delivered care as effectively as hospital, with no clinically important differences in health status. Hospital at home resulted in significantly shorter lengths of stay, which did not lead to a higher rate of subsequent admission.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.