Evidence map›Paper›PMID 11828049›Full record

Trial reportThorax2002

Patients' and carers' preferences in two models of care for acute exacerbations of COPD: results of a randomised controlled trial.

J C Ojoo, T Moon, S McGlone, K Martin, E D Gardiner, M A Greenstone, A H Morice

Open access · bronzeAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Thorax, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 12 pooled it
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 12 syntheses or guidelines pooled it, 120 citations in OpenAlex.

  1. Pooled it
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  6. Early discharge hospital at home.The Cochrane database of systematic reviews · 2017
    Pooled it
  7. Involvement of informal caregivers in supporting patients with COPD: a review of intervention studies.International journal of chronic obstructive pulmonary disease · 2016
    Pooled it
  8. Pooled it
  9. Early discharge hospital at home.The Cochrane database of systematic reviews · 2009
    Pooled it
  10. 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 · 2009
    Pooled it
  11. Guideline
  12. Pooled it
  13. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

J C OjooAcademic Department of Medicine, University of Hull, Castle Hill Hospital, Cottingham, Hull HU16 5JQ, UK.
T Moon
S McGlone
K Martin
E D Gardiner
M A Greenstone
A H Morice
Castle Hill Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with an acute exacerbation of chronic obstructive pulmonary disease (COPD) were randomised to either hospital at home (HaH) or inpatient management, and patient and carer preferred site of management and satisfaction with care received in the two arms was determined.

methodsEmergency admissions with an acute exacerbation of COPD were randomised to inpatient care or HaH care. After discharge an independent observer administered a questionnaire to both patients and carers on the preferred site of care and scored satisfaction with the care received.

resultsOf 60 patients recruited, 30 were randomised to receive HaH care. Retrospective patient preference for HaH care was 96.3% in the domiciliary arm and 59.3% in the conventional arm; carer preference figures were 85.7% and 42.9%, respectively. There was a higher preference for domiciliary care by both patients and carers in the HaH arm than in the inpatient arm (p=0.001 and p=0.01, respectively). Patients recorded equal satisfaction with care in the two arms (88.1% in the conventional arm, 91.7% in the domiciliary arm); carer scores were 91.3% and 91.9%, respectively.

conclusionsThe results of this study show that both patients and carers were significantly more likely to prefer domiciliary care if they were in the HaH arm. Since patients had to be willing to be looked after at home, both patients' and carers' perceptions of the benefits of HaH care were reinforced by their experience. HaH care of acute exacerbations of COPD is the preferred option in suitable patients.

Indexed as

Attitude to HealthPatient SatisfactionAcute DiseaseAdultAgedCaregiversEmergenciesFemaleHome Care ServicesHospitalizationHumansLength of StayMaleMiddle AgedPulmonary Disease, Chronic ObstructiveQuality of Health Care

Identifiers

PMID11828049
PMCPMC1746235
OpenAlexW2070504561

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.