Scolaris Content Display Scolaris Content Display

Forest plot of comparison: 1 Hospital at Home versus Standard Inpatient Care, outcome: 1.1 Hospital in‐patient readmissions.
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Figure 1

Forest plot of comparison: 1 Hospital at Home versus Standard Inpatient Care, outcome: 1.1 Hospital in‐patient readmissions.

Forest plot of comparison: 1 Hospital at Home versus Standard Inpatient Care, outcome: 1.3 Mortality.
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Figure 2

Forest plot of comparison: 1 Hospital at Home versus Standard Inpatient Care, outcome: 1.3 Mortality.

Comparison 1 Hospital at Home versus Standard Inpatient Care, Outcome 1 Hospital in‐patient readmissions.
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Analysis 1.1

Comparison 1 Hospital at Home versus Standard Inpatient Care, Outcome 1 Hospital in‐patient readmissions.

Comparison 1 Hospital at Home versus Standard Inpatient Care, Outcome 2 Hospital emergency room visit only (with no in‐patient admission).
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Analysis 1.2

Comparison 1 Hospital at Home versus Standard Inpatient Care, Outcome 2 Hospital emergency room visit only (with no in‐patient admission).

Comparison 1 Hospital at Home versus Standard Inpatient Care, Outcome 3 Mortality.
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Analysis 1.3

Comparison 1 Hospital at Home versus Standard Inpatient Care, Outcome 3 Mortality.

Comparison 2 Lung function, Outcome 1 FEV1.
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Analysis 2.1

Comparison 2 Lung function, Outcome 1 FEV1.

Comparison 2 Lung function, Outcome 2 FVC.
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Analysis 2.2

Comparison 2 Lung function, Outcome 2 FVC.

Comparison 2 Lung function, Outcome 3 FEV1/FVC %.
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Analysis 2.3

Comparison 2 Lung function, Outcome 3 FEV1/FVC %.

Comparison 3 Health related quality of life scores, Outcome 1 SGRQ (higher negative score is better).
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Analysis 3.1

Comparison 3 Health related quality of life scores, Outcome 1 SGRQ (higher negative score is better).

Comparison 4 Satisfaction with care, Outcome 1 Satisfaction with care.
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Analysis 4.1

Comparison 4 Satisfaction with care, Outcome 1 Satisfaction with care.

Comparison 5 Preference for type of care, Outcome 1 Preference for "Hospital at home care".
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Analysis 5.1

Comparison 5 Preference for type of care, Outcome 1 Preference for "Hospital at home care".

Comparison 6 Economic costs, Outcome 1 Average cost.
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Analysis 6.1

Comparison 6 Economic costs, Outcome 1 Average cost.

Comparison 1. Hospital at Home versus Standard Inpatient Care

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Hospital in‐patient readmissions Show forest plot

7

754

Risk Ratio (M‐H, Fixed, 95% CI)

0.89 [0.72, 1.12]

2 Hospital emergency room visit only (with no in‐patient admission) Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

3 Mortality Show forest plot

6

729

Risk Ratio (M‐H, Fixed, 95% CI)

0.61 [0.36, 1.05]

Figures and Tables -
Comparison 1. Hospital at Home versus Standard Inpatient Care
Comparison 2. Lung function

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 FEV1 Show forest plot

3

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

1.1 Change post‐bronchodilator (L)

1

150

Mean Difference (IV, Fixed, 95% CI)

‐0.03 [‐0.14, 0.08]

1.2 Change from baseline (L)

1

60

Mean Difference (IV, Fixed, 95% CI)

0.1 [‐0.03, 0.23]

1.3 Actual value at end of study (L)

1

222

Mean Difference (IV, Fixed, 95% CI)

0.10 [‐0.03, 0.23]

2 FVC Show forest plot

2

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

2.1 Change from baseline (L)

1

60

Mean Difference (IV, Fixed, 95% CI)

0.05 [‐0.25, 0.35]

2.2 Actual value at end of study (L)

1

222

Mean Difference (IV, Fixed, 95% CI)

0.20 [‐0.04, 0.44]

3 FEV1/FVC % Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

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Comparison 2. Lung function
Comparison 3. Health related quality of life scores

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 SGRQ (higher negative score is better) Show forest plot

3

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

1.1 Percentage improvement (discharge ‐ initial admission score)

1

60

Mean Difference (IV, Fixed, 95% CI)

‐0.5 [‐8.20, 7.20]

1.2 Mean change (discharge ‐ initial admission score)

2

272

Mean Difference (IV, Fixed, 95% CI)

2.83 [‐6.09, 11.75]

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Comparison 3. Health related quality of life scores
Comparison 4. Satisfaction with care

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Satisfaction with care Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

1.1 Patient satisfaction

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

1.2 Carer satisfaction

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

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Comparison 4. Satisfaction with care
Comparison 5. Preference for type of care

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Preference for "Hospital at home care" Show forest plot

2

152

Risk Ratio (M‐H, Fixed, 95% CI)

1.53 [1.23, 1.90]

1.1 Patient preference

2

86

Risk Ratio (M‐H, Fixed, 95% CI)

1.54 [1.17, 2.04]

1.2 Carer preference

2

66

Risk Ratio (M‐H, Fixed, 95% CI)

1.52 [1.08, 2.14]

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Comparison 5. Preference for type of care
Comparison 6. Economic costs

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Average cost Show forest plot

2

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

1.1 Direct cost per patient (Euros)

2

235

Mean Difference (IV, Fixed, 95% CI)

‐813.04 [‐818.91, ‐807.18]

1.2 Direct cost per patient (£ ‐ pound sterling)

2

235

Mean Difference (IV, Fixed, 95% CI)

‐536.78 [‐540.65, ‐532.91]

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Comparison 6. Economic costs