Hospital at Home admission avoidance with comprehensive geriatric assessment to maintain living at home for people aged 65 years and over: a RCT

Shepperd, Sasha; Cradduck-Bamford, Andrea; Butler, Christopher; Ellis, Graham; Godfrey, Mary; Gray, Alastair; Hemsley, Anthony; Khanna, Pradeep; Langhorne, Peter; Mäkelä, Petra; Mort, Sam; Ramsay, Scott; Schiff, Rebekah; Singh, Surya; Smith, Susan; Stott, David J; Tsiachristas, Apostolos; Wilkinson, Angela; Yu, Ly-Mee; Young, John

doi:10.3310/HTAF1569

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This trial showed the intervention had no difference in living at home at 6 months compared with admission to hospital, while costs were lower across NHS and personal and social services.

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Sasha Shepperd ^1,^*, Andrea Cradduck-Bamford ¹, Christopher Butler ², Graham Ellis ³, Mary Godfrey ^4,^†, Alastair Gray ¹, Anthony Hemsley ⁵, Pradeep Khanna ⁶, Peter Langhorne ⁷, Petra Mäkelä ⁸, Sam Mort ², Scott Ramsay ⁹, Rebekah Schiff ¹⁰, Surya Singh ¹, Susan Smith ², David J Stott ⁷, Apostolos Tsiachristas ¹, Angela Wilkinson ¹¹, Ly-Mee Yu ², John Young ¹²

¹ Nuffield Department of Population Health, University of Oxford, Oxford, UK
² Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
³ School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK
⁴ Leeds Institute of Health Sciences, Academic Unit of Ageing and Stroke Research, Leeds, UK
⁵ Royal Devon and Exeter NHS Foundation Trust, Exeter, UK
⁶ Aneurin Bevan University Health Board, Newport, UK
⁷ Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK
⁸ Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK
⁹ Department of Medicine for the Elderly, St John’s Hospital, Livingston, UK
¹⁰ Guy’s and St Thomas’ NHS Foundation Trust, London, UK
¹¹ Medicine for the Elderly Department, Victoria Hospital, Kirkcaldy, UK
¹² Academic Unit of Elderly Care and Rehabilitation, University of Leeds, Leeds, UK
^* Corresponding author Email: sasha.shepperd@ndph.ox.ac.uk

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