Trial reportArchives of disease in childhood2002
Economic evaluation of an acute paediatric hospital at home clinical trial.
Trial report in Archives of disease in childhood, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 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
11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Dimensions and components of hospital-at-home care: a systematic review.BMC health services research · 2024Pooled 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
- Systematic literature review on the effectiveness and safety of paediatric hospital-at-home care as a substitute for hospital care.European journal of pediatrics · 2023Pooled it
- Specialist home-based nursing services for children with acute and chronic illnesses.The Cochrane database of systematic reviews · 2013Pooled it
- The evaluation of a home-based paediatric nursing service: concept and design development using the Kirkpatrick model.Journal of research in nursing : JRN · 2018Article
- Validity of mobile electronic data capture in clinical studies: a pilot study in a pediatric population.BMC medical research methodology · 2017Article
- Avoiding inappropriate paediatric admission: facilitating General Practitioner referral to Community Children's Nursing Teams.BMC family practice · 2013Article
- Home-based intermediate care program vs hospitalization: Cost comparison study.Canadian family physician Medecin de famille canadien · 2008Article
- Patient, informal caregiver and care provider acceptance of a hospital in the home program in Ontario, Canada.BMC health services research · 2007Article
- Research in general paediatrics.Archives of disease in childhood · 2004Article
- Patterns of admissions for children with special needs to the paediatric assessment unit.Archives of disease in childhood · 2004Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo compare the privately borne and NHS costs of hospital at home (HAH) and conventional inpatient care for children with selected acute conditions.
methodsProspective economic evaluation using cost minimisation analysis within a randomised controlled trial, in paediatric wards of a district general hospital, and private homes in the local catchment area in Wirral, Merseyside. Subjects were children who fulfilled the criteria for admission to HAH, suffering from breathing difficulties (n = 202), diarrhoea and vomiting (n = 125), or fever (n = 72).
resultsDirect costs borne by families are reduced by 41% for HAH patients ( pound 23.31 v pound 13.76, p = 0.001). There is no evidence that HAH transfers the burden of care to parents, and there is no difference in absence rates from paid employment. Patients and their careers expressed a strong preference for HAH. Comparison of NHS costs is equivocal, depending on how HAH is implemented alongside the conventional hospital service.
conclusionPaediatric HAH schemes are unlikely to reduce NHS costs and do not increase privately borne costs. They will, however, significantly increase patient and career satisfaction with care provision for sick children with appropriate conditions.
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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.