Análise da Revisão Cochrane: Alta Hospitalar Precoce para Hospitalização Domiciliária. Cochrane Database Syst Rev. 2017;6:CD000356.

Mariana Alves; Miguel Bigotte Vieira; João Costa; António Vaz Carneiro

doi:10.20344/amp.9791

Analysis of the Cochrane Review: Early Discharge Hospital at Home. Cochrane Database Syst Rev. 2017;6:CD000356.

Authors

Mariana Alves Serviço de Medicina III. Hospital Pulido Valente. Centro Hospitalar Lisboa Norte. Lisboa. Faculdade de Medicina. Universidade de Lisboa. Lisboa. http://orcid.org/0000-0002-1369-8423
Miguel Bigotte Vieira Serviço de Nefrologia e Transplantação Renal. Centro Hospitalar Lisboa Norte. Lisboa. http://orcid.org/0000-0003-0528-2716
João Costa Centro de Estudos de Medicina Baseada na Evidência. Faculdade de Medicina da Universidade de Lisboa. Lisboa. Cochrane Portugal. Lisboa. http://orcid.org/0000-0002-5831-4921
António Vaz Carneiro Centro de Estudos de Medicina Baseada na Evidência. Faculdade de Medicina da Universidade de Lisboa. Lisboa. Cochrane Portugal. Lisboa. http://orcid.org/0000-0002-2783-0544

DOI:

https://doi.org/10.20344/amp.9791

Keywords:

Health Care Costs, Home Care Services, Hospital-Based, Mortality, Patient Discharge, Patient Readmission, Systematic Review

Abstract

Hospital at home is a service that provides active treatment by healthcare professionals in the patient’s home for a condition that otherwise would require acute hospital in-patient care. However, the clinical benefit of this intervention and its effect on health costs are not established. This Cochrane systematic review aimed to assess the effectiveness and costs of managing patients with hospital at home compared with inpatient hospital care. A systematic review of the literature was carried out by searching the following databases to 9 January 2017: Cochrane Effective Practice and Organization of Care Group (EPOC) register, Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, CINAHL, EconLit and clinical trials registries. Thirty-two randomized trials (2 of which unpublished), including 4746 patients, were included. The present review provides insufficient objective evidence of economic benefit (through a reduction in hospital length of stay) or improved health outcomes.

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Published

2017-12-29

How to Cite

Alves M, Vieira MB, Costa J, Carneiro AV. Analysis of the Cochrane Review: Early Discharge Hospital at Home. Cochrane Database Syst Rev. 2017;6:CD000356. Acta Med Port [Internet]. 2017 Dec. 29 [cited 2024 Apr. 16];30(12):835-9. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/9791

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Issue

Vol. 30 No. 12 (2017): December

Section

Cochrane Corner

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