Evidence map›Paper›PMID 17221178›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2007

The impact of home hospitalization on healthcare costs of exacerbations in COPD patients.

Jaume Puig-Junoy, Alejandro Casas, Jaume Font-Planells, Joan Escarrabill, Carme Hernández, Jordi Alonso, Eva Farrero, Gemma Vilagut, Josep Roca

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Observational
  8. Review
  9. Article
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

9 authors at 6 institutions in 1 country.

Jaume Puig-JunoyResearch Center for Health and Economics (CRES), Universitat Pompeu Fabra, Trias Fargas 25-27, Barcelona, Spain. jaume.puig@upf.edu
Alejandro Casas
Jaume Font-Planells
Joan Escarrabill
Carme Hernández
Jordi Alonso
Eva Farrero
Gemma Vilagut
Josep Roca
Hospital Clínic de Barcelona · ESInstitut Municipal d'Assistència Sanitària · ESPompeu Fabra University · ESBellvitge University Hospital · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Home-hospitalization (HH) improves clinical outcomes in selected patients with chronic obstructive pulmonary disease (COPD) admitted at the emergency room due to an exacerbation, but its effects on healthcare costs are poorly known. The current analysis examines the impact of HH on direct healthcare costs, compared to conventional hospitalizations (CH). A randomized controlled trial was performed in two tertiary hospitals in Barcelona (Spain). A total of 180 exacerbated COPD patients (HH 103 and CH 77) admitted at the emergency room were studied. In the HH group, a specialized respiratory nurse delivered integrated care at home. The average direct cost per patient was significantly lower for HH than for CH, with a difference of euro 810 (95% CI, euro 418-1,169) in the mean cost per patient. The magnitude of monetary savings attributed to HH increased with the severity of the patients considered eligible for the intervention.

Indexed as

Health Care CostsAgedFemaleHealth PolicyHealth ServicesHome Care Services, Hospital-BasedHospitalizationHumansMaleModels, EconometricOutcome Assessment, Health CarePulmonary Disease, Chronic ObstructiveSocioeconomic Factors

Identifiers

PMID17221178
OpenAlexW2118236897

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.