Evidence map›Paper›PMID 39572101›Full record

ArticleBMJ open2024

Outcomes and costs of home hospitalisation compared to traditional hospitalisation for infectious diseases in Israel: a cohort study.

Ilan Yehoshua, Sharon Baruch Gez, Bar Cohen, Beatriz Hemo, Angela Irony, Khaled Abou Houssien, Omri Shental, Shirley Shapiro Ben David, Limor Adler

Abstract readComparative Study
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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.

Ilan YehoshuaMaccabi Healthcare Services, Tel Aviv, Tel Aviv, Israel.
Sharon Baruch GezMaccabi Healthcare Services, Tel Aviv, Israel.
Bar CohenFaculty of Health Science, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Beatriz HemoMaccabi Healthcare Services, Tel Aviv, Tel Aviv, Israel.
Angela IronyOno Academic College, Kiryat Ono, Israel.
Khaled Abou HoussienMaccabi Healthcare Services, Tel Aviv, Israel.
Omri ShentalMaccabi Healthcare Services, Tel Aviv, Israel.
Shirley Shapiro Ben DavidMaccabi Healthcare Services, Tel Aviv, Israel.
Limor AdlerMaccabi Healthcare Services, Tel Aviv, Israel adler_l@mac.org.il.ORCID http://orcid.org/0000-0002-9335-6596

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to evaluate and compare health outcomes and costs between home hospitalisation and traditional hospitalisation for three common diagnoses-cellulitis, urinary tract infection (UTI) and pneumonia.

designA retrospective cohort study.

settingPrimary care, nationwide.

participants1311 patients in home hospitalisation and 992 in traditional hospitalisation.

interventionsThe primary intervention is home hospitalisation, compared with traditional hospitalisation. The intervention was performed according to medical considerations by a specialised team, and this study was done retrospectively to evaluate it. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary measures included healthcare costs, length of hospitalisation, referrals for further medical services and mortality.

resultsCosts of home hospitalisation were lower compared with traditional hospitalisation (6056 vs 9619 NIS for pneumonia, 6011 vs 9767 NIS for cellulitis, 6466 vs 8552 NIS for UTI and p value<0.05). The length of home hospitalisations was shorter for pneumonia and cellulitis (5.01 vs 6.05 days, p value 0.001 and 5.3 vs 6.1 days, p value<0.001, respectively). Likewise, for pneumonia and cellulitis, home-hospitalised patients had fewer ED referrals 30 days after discharge (13.7% vs 24%, p value<0.001 and 13.5% vs 19.8%, p value 0.002, respectively). No differences were found in recurrent hospitalisation and mortality 7 and 30 days after discharge.

conclusionsPrimary care physicians should consider home hospitalisation for these diagnoses as an alternative to traditional hospitalisation. Policymakers should encourage Primary care physicians to use home hospitalisation, as it has financial advantages and better health outcomes.

Indexed as

HospitalizationPneumoniaUrinary Tract InfectionsAdultAgedAged, 80 and overCellulitisFemaleHealth Care CostsHome Care ServicesHumansIsraelLength of StayMaleMiddle AgedPrimary Health CareHealth ServicesHospitalizationPrimary Health Care

Identifiers

PMID39572101
PMCPMC11580287

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.