Analysis of the Cochrane Review: Early Discharge Hospital at Home. Cochrane Database Syst Rev. 2017;6:CD000356.
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791 |
Resumo: | 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 Thirty-two randomized trials (2 of which unpublished), including 4746 patients, were included.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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Analysis of the Cochrane Review: Early Discharge Hospital at Home. Cochrane Database Syst Rev. 2017;6:CD000356.Análise da Revisão Cochrane: Alta Hospitalar Precoce para Hospitalização Domiciliária. Cochrane Database Syst Rev. 2017;6:CD000356.Health Care CostsHome Care ServicesHospital-BasedMortalityPatient DischargePatient ReadmissionSystematic ReviewAlta HospitalarCustos de Cuidados de SaúdeMortalidadeReinternamentoRevisão SistemáticaServiços Hospitalares de Assistência DomiciliarHospital 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.A hospitalização domiciliária é um serviço que proporciona tratamento a doentes com doença aguda no próprio domicílio, os quais noutras condições necessitariam de internamento hospitalar em enfermaria de agudos. No entanto, o benefício clínico desta intervenção e o seu efeito nos custos em saúde não se encontram estabelecidos. Esta revisão sistemática Cochrane teve como objectivo avaliar a eficácia e custos associados aos cuidados de doentes admitidos no serviço de hospitalização domiciliária em comparação com internamento hospitalar habitual. Foi realizada revisão sistemática da literatura através de pesquisa nas seguintes bases de dados - The Cochrane Effective Practice and Organisation of Care Group (EPOC) register, Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, CINAHL, e EconLit - até 9 de janeiro de 2017. Foram incluídos 32 ensaios clínicos aleatorizados (2 dos quais não publicados), incluindo 4746 doentes. A presente revisão detetou evidência insuficiente do benefício económico (através de uma redução no período de internamento hospitalar) ou melhoria dos resultados clínicos da hospitalização domiciliária.Ordem dos Médicos2017-12-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791oai:ojs.www.actamedicaportuguesa.com:article/9791Acta Médica Portuguesa; Vol. 30 No. 12 (2017): December; 835-839Acta Médica Portuguesa; Vol. 30 N.º 12 (2017): Dezembro; 835-8391646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791/5270https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791/9797https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791/9798https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791/9799https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791/9862Direitos de Autor (c) 2017 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessAlves, MarianaVieira, Miguel BigotteCosta, JoãoCarneiro, António Vaz2022-12-20T11:05:48Zoai:ojs.www.actamedicaportuguesa.com:article/9791Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:45.269755Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Analysis of the Cochrane Review: Early Discharge Hospital at Home. Cochrane Database Syst Rev. 2017;6:CD000356. Análise da Revisão Cochrane: Alta Hospitalar Precoce para Hospitalização Domiciliária. Cochrane Database Syst Rev. 2017;6:CD000356. |
title |
Analysis of the Cochrane Review: Early Discharge Hospital at Home. Cochrane Database Syst Rev. 2017;6:CD000356. |
spellingShingle |
Analysis of the Cochrane Review: Early Discharge Hospital at Home. Cochrane Database Syst Rev. 2017;6:CD000356. Alves, Mariana Health Care Costs Home Care Services Hospital-Based Mortality Patient Discharge Patient Readmission Systematic Review Alta Hospitalar Custos de Cuidados de Saúde Mortalidade Reinternamento Revisão Sistemática Serviços Hospitalares de Assistência Domiciliar |
title_short |
Analysis of the Cochrane Review: Early Discharge Hospital at Home. Cochrane Database Syst Rev. 2017;6:CD000356. |
title_full |
Analysis of the Cochrane Review: Early Discharge Hospital at Home. Cochrane Database Syst Rev. 2017;6:CD000356. |
title_fullStr |
Analysis of the Cochrane Review: Early Discharge Hospital at Home. Cochrane Database Syst Rev. 2017;6:CD000356. |
title_full_unstemmed |
Analysis of the Cochrane Review: Early Discharge Hospital at Home. Cochrane Database Syst Rev. 2017;6:CD000356. |
title_sort |
Analysis of the Cochrane Review: Early Discharge Hospital at Home. Cochrane Database Syst Rev. 2017;6:CD000356. |
author |
Alves, Mariana |
author_facet |
Alves, Mariana Vieira, Miguel Bigotte Costa, João Carneiro, António Vaz |
author_role |
author |
author2 |
Vieira, Miguel Bigotte Costa, João Carneiro, António Vaz |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Alves, Mariana Vieira, Miguel Bigotte Costa, João Carneiro, António Vaz |
dc.subject.por.fl_str_mv |
Health Care Costs Home Care Services Hospital-Based Mortality Patient Discharge Patient Readmission Systematic Review Alta Hospitalar Custos de Cuidados de Saúde Mortalidade Reinternamento Revisão Sistemática Serviços Hospitalares de Assistência Domiciliar |
topic |
Health Care Costs Home Care Services Hospital-Based Mortality Patient Discharge Patient Readmission Systematic Review Alta Hospitalar Custos de Cuidados de Saúde Mortalidade Reinternamento Revisão Sistemática Serviços Hospitalares de Assistência Domiciliar |
description |
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. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-12-29 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791 oai:ojs.www.actamedicaportuguesa.com:article/9791 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791 |
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oai:ojs.www.actamedicaportuguesa.com:article/9791 |
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por |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791/5270 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791/9797 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791/9798 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791/9799 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9791/9862 |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa |
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openAccess |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 30 No. 12 (2017): December; 835-839 Acta Médica Portuguesa; Vol. 30 N.º 12 (2017): Dezembro; 835-839 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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