SynthesisBMC medicine2024
Early discharge hospital at home as alternative to routine hospital care for older people: a systematic review and meta-analysis.
Synthesis in BMC medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 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
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Efficacy and Safety of Hospital-at-Home versus Traditional Hospital Care in Older Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Gerontology · 2026Pooled it
- Influencing factors for surgical treatment in neonatal necrotizing enterocolitis: a systematic review and meta-analysis.BMC pediatrics · 2024Pooled it
- Effect of an Advanced Community Paramedic Program to Shorten or Prevent Hospitalizations: A Pragmatic, Point-of-Care, Randomized Clinical Trial.Annals of family medicine · 2026Trial
- Patients' experiences of receiving hospital care from a mobile care unit - a qualitative interview study.International journal of qualitative studies on health and well-being · 2026Article
- Article
- Beyond pain relief: a thematic exploration of informal caregiver experiences and needs following SPING block treatment in geriatric hip fracture patients.European geriatric medicine · 2026Article
- Early discharge within 48 h after minimally invasive colorectal resection: a propensity score-matched evaluation of clinical outcomes, resource utilization, and patient-reported experience.Surgical endoscopy · 2026Article
- What Makes Mobile Banking Difficult for Older Adults? A Multi-Layer Usability Investigation.Health promotion perspectives · 2026Article
- Remote Patient Monitoring in Hospital at Home: Bibliometric Analysis of the Field and Scoping Review of Nursing Practice.Journal of nursing management · 2026Review
- Bridging the Gap in Chronic Disease Management: A Nursing Perspective on the Use of Predictive Tools and Telemedicine in the Hospital-Community Transition.Medicina (Kaunas, Lithuania) · 2025Review
- Perceptions and anticipated factors influencing the adoption of early supported discharge through hospital-at-home.Annals of medicine · 2025Article
- Facilitators and barriers to provision of hospital in the home: does geographical location matter? A scoping review.BMC health services research · 2025Article
- Home-Based Daratumumab in Patients With Multiple Myeloma.European journal of haematology · 2025Observational
- Lessons learned from the participatory development of a framework to actively involve people living with dementia, individuals from their social networks, and healthcare professionals in systematic reviews: the DECIDE-SR study.Research involvement and engagement · 2025Article
- Safety and Cost-Effectiveness of Hospital at Home in Patients with COVID-19.Southern medical journal · 2025Article
- Understanding the Mismatch Between Utilization and Demand for Home Medical Care Among Disabled Older Adults in China.Journal of multidisciplinary healthcare · 2025Article
- Physicians and nurses experiences of providing care to patients within a mobile care unit - a qualitative interview study.BMC health services research · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe global population of adults aged 60 and above surpassed 1 billion in 2020, constituting 13.5% of the global populace. Projections indicate a rise to 2.1 billion by 2050. While Hospital-at-Home (HaH) programs have emerged as a promising alternative to traditional routine hospital care, showing initial benefits in metrics such as lower mortality rates, reduced readmission rates, shorter treatment durations, and improved mental and functional status among older individuals, the robustness and magnitude of these effects relative to conventional hospital settings call for further validation through a comprehensive meta-analysis.
methodsA comprehensive literature search was executed during April-June 2023, across PubMed, MEDLINE, Embase, Web of Science, and Cumulative Index of Nursing and Allied Health Literature (CINAHL) to include both RCT and non-RCT HaH studies. Statistical analyses were conducted using Review Manager (version 5.4), with Forest plots and I
resultsFifteen trials were included in this systematic review, including 7 RCTs and 8 non-RCTs. Outcome measures include mortality, readmission rates, treatment duration, functional status (measured by the Barthel index), and mental status (measured by MMSE). Results suggest that early discharge HaH is linked to decreased mortality, albeit supported by low-certainty evidence across 13 studies. It also shortens the length of treatment, corroborated by seven trials. However, its impact on readmission rates and mental status remains inconclusive, supported by nine and two trials respectively. Functional status, gauged by the Barthel index, indicated potential decline with early discharge HaH, according to four trials. Subgroup analyses reveal similar trends.
conclusionsWhile early discharge HaH shows promise in specific metrics like mortality and treatment duration, its utility is ambiguous in the contexts of readmission, mental status, and functional status, necessitating cautious interpretation of findings.
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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.