Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons?
Authors: Sasha Shepperd, Graham Ellis, Rebekah Schiff, David J. Stott, John Young
Journal: Annals of Internal Medicine (2021)

LettersNovember 2021Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons?Sasha Shepperd, MSc, DPhil, Graham Ellis, MD, Rebekah Schiff, BSc, MBBS, David J. Stott, MD, John Young, MScSasha Shepperd, MSc, DPhilUniversity of Oxford, Oxford, United Kingdom, Graham Ellis, MDUniversity Hospital Monklands, Airdrie, United Kingdom, Rebekah Schiff, BSc, MBBSGuy's and St Thomas' NHS Foundation Trust, London, United Kingdom, David J. Stott, MDInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom, John Young, MScUniversity of Leeds, Leeds, United KingdomAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L21-0615 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE: Dr. Levine and colleagues cite the following broad and widely accepted definition for an HAH service: "the provision of hospital-level care in a patient's home as a substitute for care that would otherwise be provided in a traditional hospital." They develop this definition to include some very specific aspects—namely, daily ward rounds and availability of intravenous antibiotics and home oxygen—that suggest a particular form of service.Our study was set in the United Kingdom's National Health Service with 9 mature HAH geriatrician-led services with comprehensive geriatric assessment. They had evolved by developing service partnerships for a subset of ...References1. Sox HC, Lewis RJ. Pragmatic trials: practical answers to "real world" questions. JAMA. 2016;316:1205-6. [PMID: 27654606] doi:10.1001/jama.2016.11409 CrossrefMedlineGoogle Scholar2. Zwarenstein M, Treweek S, Gagnier JJ, et al; CONSORT group. Improving the reporting of pragmatic trials: an extension of the CONSORT statement. BMJ. 2008;337:a2390. [PMID: 19001484] doi:10.1136/bmj.a2390 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Oxford, Oxford, United KingdomUniversity Hospital Monklands, Airdrie, United KingdomGuy's and St Thomas' NHS Foundation Trust, London, United KingdomInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United KingdomUniversity of Leeds, Leeds, United KingdomDisclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-5688. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoIs Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons? Sasha Shepperd , Chris Butler , Andrea Cradduck-Bamford , Graham Ellis , Alastair Gray , Anthony Hemsley , Pradeep Khanna , Peter Langhorne , Sam Mort , Scott Ramsay , Rebekah Schiff , David J. Stott , Angela Wilkinson , Ly-Mee Yu , and John Young Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons? David M. Levine , Michael Montalto , and Bruce Leff Metrics Cited byComprehensive Geriatric Hospital at Home: Adaptation to Referral and Case-Mix Changes During the COVID-19 Pandemic November 2021Volume 174, Issue 11Page: 1633-1634 ePublished: 16 November 2021 Issue Published: November 2021 Copyright & PermissionsCopyright © 2021 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...