Feasibility of Hospital-at-Home for Older Patients With an Acute Medical Illness

2018 ◽  
Vol 8 (1) ◽  
pp. 1-22
Author(s):  
Anette Tanderup ◽  
Jesper Ryg ◽  
Anne Lee ◽  
Annmarie Touborg Lassen ◽  
Karina Birkmose Mejer ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Older Patients ◽  
Controlled Trial ◽  
Hospital Treatment ◽  
Medical Illness ◽  
Potential Alternative ◽  
Hospital At Home ◽  
Randomised Controlled ◽  
The Cost ◽  
At Home

Out-of-hospital-treatment in the form of a hospital at home has been suggested as a potential alternative to hospital admission. The objectives of the study were to address the feasibility of a hospital at home supported by telemedicine for older patients requiring admission. Of 601 patients screened, seven were eligible and willing to participate in the intervention. Poor health status and skepticism towards the technology was the main reasons for ineligibility and declining to take part. Patients admitted to the scheme at home felt safe and were positive regarding several aspects of the scheme. Health care professionals found that the intervention gave an opportunity to create a patient-centred treatment. However, the intervention was not successfully integrated because of the few cases. The economic evaluation found the cost of home admission depended on the turnover of patients. Hospital at home was not feasible in this setup and do not justify proceeding to a randomised controlled trial.

Informal caregiver strain, preference and satisfaction in hospital-at-home and usual hospital care for COPD exacerbations: Results of a randomised controlled trial

2014 ◽  
Vol 51 (8) ◽  
pp. 1093-1102 ◽  
Author(s):  
Cecile M.A. Utens ◽  
Onno C.P. van Schayck ◽  
Lucas M.A. Goossens ◽  
Maureen P.H.M. Rutten-van Mölken ◽  
Dirk R.A.J. DeMunck ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Hospital Care ◽  
Informal Caregiver ◽  
Controlled Trial ◽  
Caregiver Strain ◽  
Copd Exacerbations ◽  
Hospital At Home ◽  
Randomised Controlled ◽  
At Home

scholarly journals Hospital at Home care for older patients with cognitive impairment: a protocol for a randomised controlled feasibility trial

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020332 ◽  
Author(s):  
Maaike A Pouw ◽  
Agneta H Calf ◽  
Barbara C van Munster ◽  
Jan C ter Maaten ◽  
Nynke Smidt ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Home Care ◽  
Older Patients ◽  
Hospital Care ◽  
Feasibility Trial ◽  
Nursing Home Admission ◽  
Advantages And Disadvantages ◽  
Hospital At Home ◽  
Randomised Controlled ◽  
At Home

IntroductionAn acute hospital admission is a stressful life event for older people, particularly for those with cognitive impairment. The hospitalisation is often complicated by hospital-associated geriatric syndromes, including delirium and functional loss, leading to functional decline and nursing home admission. Hospital at Home care aims to avoid hospitalisation-associated adverse outcomes in older patients with cognitive impairment by providing hospital care in the patient’s own environment.Methods and analysisThis randomised, non-blinded feasibility trial aims to assess the feasibility of conducting a randomised controlled trial in terms of the recruitment, use and acceptability of Hospital at Home care for older patients with cognitive impairment. The quality of care will be evaluated and the advantages and disadvantages of the Hospital at Home care programme compared with usual hospital care. Eligible patients will be randomised either to Hospital at Home care in their own environment or usual hospital care. The intervention consists of hospital level care provided at patients’ homes, including visits from healthcare professionals, diagnostics (laboratory tests, blood cultures) and treatment. The control group will receive usual hospital care. Measurements will be conducted at baseline, during admission, at discharge and at 3 and 6 months after the baseline assessment.Ethics and disseminationInstitutional ethics approval has been granted. The findings will be disseminated through public lectures, professional and scientific conferences, as well as peer-reviewed journal articles. The study findings will contribute to knowledge on the implementation of Hospital at Home care for older patients with cognitive disorders. The results will be used to inform and support strategies to deliver eligible care to older patients with cognitive impairment.Trial registration numberNTR6581; Pre-results.

Performance of hospital-at-home after a randomised controlled trial

2003 ◽  
Vol 8 (3) ◽  
pp. 160-164 ◽  
Author(s):  
Andrew Wilson ◽  
Hilda Parker ◽  
Alison Wynn ◽  
Nicky Spiers
Keyword(s):  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Hospital At Home ◽  
Randomised Controlled ◽  
At Home

scholarly journals Randomised controlled trial comparing hospital at home care with inpatient hospital care. I: three month follow up of health outcomes

BMJ ◽  
1998 ◽  
Vol 316 (7147) ◽  
pp. 1786-1791 ◽  
Author(s):  
S. Shepperd ◽  
D. Harwood ◽  
C. Jenkinson ◽  
A. Gray ◽  
M. Vessey ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Home Care ◽  
Health Outcomes ◽  
Hospital Care ◽  
Controlled Trial ◽  
Inpatient Hospital ◽  
Hospital At Home ◽  
Randomised Controlled ◽  
At Home

scholarly journals Does hospital at home for palliative care facilitate death at home? Randomised controlled trial

BMJ ◽  
1999 ◽  
Vol 319 (7223) ◽  
pp. 1472-1475 ◽  
Author(s):  
G. E Grande ◽  
C. J Todd ◽  
S. I G Barclay ◽  
M. C Farquhar
Keyword(s):  
Palliative Care ◽  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Hospital At Home ◽  
Randomised Controlled ◽  
At Home
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