SynthesisBMJ (Clinical research ed.)2004
Hospital at home for patients with acute exacerbations of chronic obstructive pulmonary disease: systematic review of evidence.
Synthesis in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01552031 (Monitoring COPD Patients at Home by a Forced Oscillation Technique Device), which is not on this map. Cited by 47 papers, 7 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.
Monitoring COPD Patients at Home by a Forced Oscillation Technique Device
Who cites it
47 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- What is the evidence for virtual wards or hospital-at-home care pathways for exacerbations of chronic obstructive pulmonary disease? A systematic review and meta-analysis.BMJ open respiratory research · 2026Pooled it
- Dimensions and components of hospital-at-home care: a systematic review.BMC health services research · 2024Pooled it
- Transition of care interventions to manage severe COVID-19 in the ambulatory setting: a systematic review.Internal and emergency medicine · 2024Pooled it
- Pooled it
- Indicators of home-based hospitalization model and strategies for its implementation: a systematic review of reviews.Systematic reviews · 2020Pooled it
- Intermediate care--Hospital-at-Home in chronic obstructive pulmonary disease: British Thoracic Society guideline.Thorax · 2007Guideline
- Effectiveness of innovations in nurse led chronic disease management for patients with chronic obstructive pulmonary disease: systematic review of evidence.BMJ (Clinical research ed.) · 2005Pooled it
- Trial
- The Association Between Home-Visit Nursing Use and the Incidence of Potentially Avoidable Hospitalisation and Its Duration Among Community-Dwelling Older People: A 12-Month Prospective Cohort Study.International journal of older people nursing · 2026Article
- The Irish COPD paradox and the promise of virtual care.Frontiers in digital health · 2026Article
- Hospital at Home for Early Home Transfer after Bariatric Surgery: A Propensity-Score Matched Study.Obesity surgery · 2025Article
- Characteristics associated with accepting hospital at home among patients with cancer and their caregivers: a cross-sectional survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Breath-Actuated Nebulizers for Asthma and Chronic Obstructive Pulmonary Disease Exacerbation: A Monte Carlo Simulation Demonstrating National Cost Savings and Length of Stay Reduction.Journal of the American College of Emergency Physicians open · 2025Article
- Cost of home hospitalization versus inpatient hospitalization inclusive of a 30-day post-acute period.Journal of the American Geriatrics Society · 2022Observational
- Individuals' Awareness of and Willingness to Accept Hospital-at-Home Services and Related Factors: A Cross-Sectional Study.Frontiers in public health · 2022Article
- Characteristics and outcomes of patients receiving Hospital at Home Services in the South West of Sydney.BMC health services research · 2020Article
- Hospital-at-Home as an Alternative to Release the Overload of Healthcare Systems During the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Pandemic.Journal of the American Medical Directors Association · 2020Article
- Telehealth for patients with chronic obstructive pulmonary disease (COPD): a systematic review and meta-analysis protocol.BMJ open · 2018Article
- Does Telehealth Monitoring Identify Exacerbations of Chronic Obstructive Pulmonary Disease and Reduce Hospitalisations? An Analysis of System Data.JMIR medical informatics · 2017Article
- Evaluation of the current landscape of respiratory nurse specialists in the UK: planning for the future needs of patients.BMJ open respiratory research · 2017Article
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the efficacy of hospital at home schemes compared with inpatient care in patients with acute exacerbations of chronic obstructive pulmonary disease (COPD).
designA systematic review of randomised controlled trials.
main outcome measureMortality and readmission to hospital.
resultsSeven trials with 754 patients were included in the review. Hospital readmission and mortality were not significantly different when hospital at home schemes were compared with inpatient care (relative risk 0.89, 95% confidence interval 0.72 to 1.12, and 0.61, 0.36 to 1.05, respectively). However, compared with inpatient care, hospital at home schemes were associated with substantial cost savings as well as freeing up hospital inpatient beds.
conclusionsHospital at home schemes can be safely used to care for patients with acute exacerbations of COPD who would otherwise be admitted to hospital. Clinicians should consider this form of management, especially as there is increasing pressure for inpatient beds in the United Kingdom.
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.