Observational studyJournal of the American Geriatrics Society2022
Cost of home hospitalization versus inpatient hospitalization inclusive of a 30-day post-acute period.
Observational study in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis 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
18 citing papers in PubMed, 1 synthesis or guideline pooled 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
- Hospital at Home in 10 years-Here, borrow my binoculars.Journal of internal medicine · 2026Article
- Hospital at Home vs conventional hospitalization: good clinical outcomes with lower cost and nosocomial complications.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Observational
- Using home hospital to drive innovation within TEAM.Health affairs scholar · 2026Article
- Hospital-at-home versus hospital admission for acute care in Singapore: a prospective quasi-experimental study on cost, utilisation and clinical outcomes.BMC health services research · 2026Observational
- Physician-reported outcomes associated with collaboration between home healthcare institutions and after-hours house-call services in Japan.BMC primary care · 2025Article
- Home-based treatment for patients with hematological cancer in Denmark-A national overview.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Inflatable penile prosthesis implantation in the outpatient setting is safe and feasible: a prospective, singe center study.International journal of impotence research · 2025Article
- Hospital at home for oncologic patients: SEOM-SEHAD consensus on clinical practice.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025Review
- Human Health Impacts of Energy Transitions across the United States among Sociodemographic Subpopulations for the Year 2050.Environmental science & technology · 2025Article
- Importance of early consideration of scaling and sustainability for aging-related care models: Case study of Hospital at Home.Journal of the American Geriatrics Society · 2024Article
- Lived experiences of older adults within an integrated hospital-at-home service: an interpretive phenomenological analysis.BMC nursing · 2024Article
- Analyzing the 20-year declining trend of hospital length-of-stay in European countries with different healthcare systems and reimbursement models.International journal of health economics and management · 2024Article
- Delirium Due to Potentially Avoidable Hospitalizations Among Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Thirty-day hospital readmission predictors in older patients receiving hospital-at-home: a 3-year retrospective study in France.BMJ open · 2023Article
- Trends in post-acute care and outcomes for Medicare beneficiaries hospitalized for heart failure between 2008 and 2015.Journal of the American Geriatrics Society · 2023Article
- Comprehensive Geriatric Hospital at Home: Adaptation to Referral and Case-Mix Changes During the COVID-19 Pandemic.Journal of the American Medical Directors Association · 2023Observational
- Home Hospitalisation: A Polyhedric Approach to Healthcare in Acute Respiratory Patients.Open respiratory archivesArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundPrevious studies have demonstrated that hospital at home (HaH) care is associated with lower costs than traditional hospital care. Most prior studies were small, not U.S.-focused, or did not include post-acute costs in their analyses. Our objective was to determine if combined acute and 30-day post-acute costs of care were lower for HaH patients compared to inpatient comparisons in a Center for Medicare and Medicaid Innovation Center demonstration of HaH.
methodsA single-center New York City retrospective observational cohort study of patients admitted to either HaH or inpatient care from September 1, 2014 through August 31, 2017. Eligible patients were 18 years or older, required inpatient admission, lived in Manhattan, and met home safety requirements. Comparison individuals met the same criteria and were included if they refused HaH care or were admitted when HaH was not available. HaH care was substitutive hospital-level care and 30-days of post-acute transitional care. Main outcomes were costs of care of the acute and post-acute 30-day episodes. We matched subjects on age, sex, and insurance and conducted regression analyses using an unadjusted model and one adjusted for several patient characteristics.
resultsOf 523 Medicare admission episodes, data were available for 201 episodes in the HaH arm and 101 episodes of usual care. HaH patients were older (81.6 [SD = 12.3] years vs. 74.6 [SD = 14.0], p < 0.0001) and more likely to have activities of daily living (ADL) impairments (75.4% vs. 46.5%, p < 0.0001). Unadjusted mean costs were $5054 lower for HaH episodes compared to inpatient episodes. Regression analysis with matching showed HaH costs were $5116 (95% CI -$10,262 to $30, p = 0.05) lower, and when adjusted for age, sex, insurance, diagnosis, and ADL impairments, $5977 (95% CI -$10,758 to -$1196, p = 0.01) lower.
conclusionsHaH combined with 30-day post-acute transition care was less costly than inpatient care.
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.