Review: Hospital-at-home care does not increase mortality or readmission rates in acute exacerbations of COPD

May 2004
ACP Journal Club;May/Jun2004, Vol. 140 Issue 3, p59
Academic Journal
This article focuses on the effectiveness of hospital-at-home care and hospital inpatient care, of patients with acute exacerbations of chronic obstructive pulmonary disease (COPD). Studies were selected if they were randomized controlled trials in patients presenting to the emergency department (ED) with an acute exacerbation of COPD who would not require obligatory admission and compared hospital admission with home support by a respiratory nurse specialist who made multiple scheduled or extra home visits. In patients with acute exacerbations of COPD disease not requiring obligatory admission, hospital-at-home care is as effective as hospital inpatient care for preventing hospital readmission and mortality at 2 to 3 months of follow-up.


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