A randomized U.K. trial showed similar outcomes between hospital-at-home and inpatient care.
Efforts to create hospital-at-home (HAH) programs for older patients have accelerated during the COVID-19 pandemic, as capacity challenges have strained already-crowded healthcare facilities. Avoiding admission to the hospital aligns with older patients' preferences to receive hospital-level care in their homes.
In this multisite, randomized trial from the U.K., researchers assessed the clinical effectiveness of an HAH program, compared with inpatient care, for 1000 medically unwell older patients (age, ≥65; mean age, 83) who were referred for hospital admission because of acute issues. Both groups received comprehensive geriatric assessment (CGA). The HAH program employed a multidisciplinary team, daily virtual rounds, and geriatrician-led …
Reviewing Author
DisclosuresConsultant/Advisory BoardNEJM Healer Advisory Group; Aquifer Clinical Excellence; NBME Clinical Reasoning
Grant/Research SupportSouthern Group on Educational Affairs (SGEA)
Editorial BoardsDiagnosis
Leadership Positions in Professional SocietiesUndergraduate Medical Education (UME) Section Chair, Southern Group on Educational Affairs (SGEA); Chair of Early Career Physicians, American College of Physicians (ACP), Virginia Chapter
DisclosuresConsultant/Advisory BoardNEJM Healer Advisory Group; Aquifer Clinical Excellence; NBME Clinical Reasoning
Grant/Research SupportSouthern Group on Educational Affairs (SGEA)
Editorial BoardsDiagnosis
Leadership Positions in Professional SocietiesUndergraduate Medical Education (UME) Section Chair, Southern Group on Educational Affairs (SGEA); Chair of Early Career Physicians, American College of Physicians (ACP), Virginia Chapter