Evidence map›Paper›PMID 34322684›Full record

ArticleJournal of the American College of Emergency Physicians open2021

Home hospital as a disposition for older adults from the emergency department: Benefits and opportunities.

Kei Ouchi, Shan Liu, Daniel Tonellato, Yonatan G Keschner, Maura Kennedy, David M Levine

Open access · goldAbstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Risk factors and risk stratification approaches for delirium screening: A Geriatric Emergency Department Guidelines 2.0 systematic review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Lessons from a large national "hospital at home" program.Israel journal of health policy research · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Critical revisits after discharge from the emergency department.International journal of emergency medicine · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Perceptions of Acute Care Telemedicine Among Caregivers for Persons Living with Dementia: A Qualitative Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
    Article
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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

6 authors at 4 institutions in 1 country.

Kei OuchiDepartment of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USA.
Shan LiuHarvard Medical School Boston Massachusetts USA.
Daniel TonellatoDepartment of Emergency Medicine MedStar Georgetown University Hospital Washington District of Columbia USA.
Yonatan G KeschnerDepartment of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USA.
Maura KennedyHarvard Medical School Boston Massachusetts USA.
David M LevineHarvard Medical School Boston Massachusetts USA.
Harvard University · USMassachusetts General Hospital · USBrigham and Women's Hospital · USMedStar Georgetown University Hospital · US

Funding

ED GOAL: An Advance Care Planning Intervention for Seriously Ill Older Adults in the Emergency DepartmentK76AG064434 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI OUCHI, KEI · 2020 to 2024
$1.3M
NIA NIH HHS K76 AG064434
6 · The paper itself

Abstract

The $1 trillion industry of acute hospital care in the United States is shifting from inside the walls of the hospital to patient homes. To tackle the limitations of current hospital care in the United States, on November 25, 2020, the Center for Medicare & Medicaid Services announced that the acute hospital care at home waiver would reimburse for "home hospital" services. A "home hospital" is the home-based provision of acute services usually associated with the traditional inpatient hospital setting. Prior work suggests that home hospital care can reduce costs, maintain quality and safety, and improve patient experiences for select acutely ill adults who require hospital-level care. However, most emergency physicians are unfamiliar with the evidence of benefits demonstrated by home hospital services, especially for older adults. Therefore, the lead author solicited narrative inputs on this topic from selected experts in emergency medicine and home hospital services with clinical experience, publications, and funding on home hospital care. Then we sought to identify information most relevant to the practice of emergency medicine. We outline the proven and potential benefits of home hospital services specific to older adults compared to traditional acute care hospitalization with a focus on the emergency department.

Indexed as

dispositionGeriatricshealthcare deliveryhome hospitalpalliative carepatient‐centered care

Identifiers

PMID34322684
PMCPMC8295243
OpenAlexW3185287390

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.