A meta-analysis of “hospital in the home”

Hugh G Dickson
Med J Aust 2013; 198 (4): . || doi: 10.5694/mja12.11662
Published online: 4 March 2013

To the Editor: Caplan et al1 include in their meta-analysis a trial by Mather et al that compared home care with intensive care management of patients with acute myocardial infarction (AMI) between 1966 and 1968.2 A joint working party of the Royal College of Physicians and British Cardiac Society dismissed the results of this study because of design defects.3,4

  • Department of Ambulatory Care, Liverpool Hospital, Sydney, NSW.

Competing interests:

No relevant disclosures.

  • 1. Caplan GA, Sulaiman NS, Mangin DA, et al. A meta-analysis of “hospital in the home”. Med J Aust 2012; 197: 512-519. <MJA full text>
  • 2. Mather HG, Morgan DC, Pearson NG, et al. Myocardial infarction: a comparison between home and hospital care for patients. Br Med J 1976; 1: 925-929.
  • 3. The care of the patient with coronary heart disease. Report of a joint working party of the Royal College of Physicians of London and the British Cardiac Society. J R Coll Physicians Lond 1975; 10: 5-46.
  • 4. Hill JD, Hampton JR, Mitchell JRA. A randomised trial of home-versus-hospital management for patients with suspected myocardial infarction. Lancet 1978; 1: 837-841.
  • 5. Kalra L, Evans A, Perez I, et al. Alternative strategies for stroke care: a prospective randomised controlled trial. Lancet 2000; 356: 894-899.
  • 6. Rudd AG, Wolfe CDA, Tilling K, Beech R. Randomised controlled trial to evaluate early discharge scheme for patients with stroke. BMJ 1997; 315: 1039-1044.
  • 7. Indredavik B, Fjaertoft H, Ekeberg G, et al. Benefit of an extended stroke unit service with early supported discharge: a randomized, controlled trial. Stroke 2000; 31: 2989-2994.


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