Trial reportAnnals of internal medicine2021
Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons? : A Randomized Trial.
Trial report in Annals of internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 8 of them syntheses that pooled it.
What it found
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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
57 citing papers in PubMed, 8 syntheses or guidelines pooled it, 157 citations in OpenAlex.
- 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
- Comparison of hospitalisation settings and exercise interventions in acute care: a systematic review and meta-analysis.Age and ageing · 2025Pooled 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
- Acute care models for older people living with frailty: a systematic review and taxonomy.BMC geriatrics · 2023Pooled it
- Comprehensive Geriatric Assessment for community-dwelling, high-risk, frail, older people.The Cochrane database of systematic reviews · 2022Pooled it
- Cost-Effectiveness of Hospital-at-Home and Fecal Microbiota Transplantation in Treating Older Patients With Clostridioides difficile.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025Trial
- Is comprehensive geriatric assessment hospital at home a cost-effective alternative to hospital admission for older people?Age and ageing · 2022Trial
- Communication strategies amongst healthcare professionals, patients and caregivers in Hospital-at-Home Admission Avoidance models for acutely ill older adults: a scoping review.European geriatric medicine · 2026Review
- Simulating the impact of preventive strategies for older persons' emergency care demands on health care utilisation, Amsterdam as Dutch use case.Age and ageing · 2026Article
- Exploring cost trajectories of patients admitted to geriatric rehabilitation in the Netherlands.Age and ageing · 2026Article
- Hospital at home for older frequent hospital users: present and future of a healthcare challenge.Aging clinical and experimental research · 2026Article
- The current status of job burnout among online nurses delivering Internet+ home care services and influencing factors: a cross-sectional study.Frontiers in public health · 2026Article
- Responses of Physical Performance to the Eight Weeks of Dynamic Neuromuscular Stability Exercises in Older Men.Journal of aging research · 2026Article
- Development of a Hospital-at-Home Digital Twin for Patients With Frailty: Scoping Review.Journal of medical Internet research · 2025Article
- Adapting program theory to guide the implementation and evaluation of interventions delivered by advanced practice nurses in Hospital at Home: A programmatic framework for implementation and assessment.International journal of nursing studies advances · 2025Review
- Review
- Implementation of a Virtual Hospital in the Home Service for Patients With COVID-19 in Queensland, Australia: Mixed Methods Evaluation Using the RE-AIM Framework.Journal of medical Internet research · 2025Article
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Authors and funding
15 authors at 9 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDelivering hospital-level care with comprehensive geriatric assessment (CGA) in the home is one approach to deal with the increased demand for bed-based hospital care, but clinical effectiveness is uncertain.
objectiveTo assess the clinical effectiveness of admission avoidance hospital at home (HAH) with CGA for older persons.
designMultisite randomized trial. (ISRCTN registry number: ISRCTN60477865).
setting9 hospital and community sites in the United Kingdom. PATIENTS: 1055 older persons who were medically unwell, were physiologically stable, and were referred for a hospital admission.
interventionAdmission avoidance HAH with CGA versus hospital admission with CGA when available using 2:1 randomization. MEASUREMENTS: The primary outcome of living at home was measured at 6 months. Secondary outcomes were new admission to long-term residential care, death, health status, delirium, and patient satisfaction.
resultsParticipants had a mean age of 83.3 years (SD, 7.0). At 6-month follow-up, 528 of 672 (78.6%) participants in the CGA HAH group versus 247 of 328 (75.3%) participants in the hospital group were living at home (relative risk [RR], 1.05 [95% CI, 0.95 to 1.15]; LIMITATION: The findings are most applicable to older persons referred from a hospital short-stay acute medical assessment unit; episodes of delirium may have been undetected.
conclusionAdmission avoidance HAH with CGA led to similar outcomes as hospital admission in the proportion of older persons living at home as well as a decrease in admissions to long-term residential care at 6 months. This type of service can provide an alternative to hospitalization for selected older persons. PRIMARY FUNDING SOURCE: The National Institute for Health Research Health Services and Delivery Research Programme (12/209/66).
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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.