Substitutive "hospital at home" versus inpatient care for elderly patients with exacerbations of chronic obstructive pulmonary disease: A prospective randomized, controlled trial

Nicoletta Aimonino Ricauda, Vittoria Tibaldi, Bruce A Leff, Carla Scarafiotti, Renata Marinello, Mauro Zanocchi, Mario Molaschi

Research output: Contribution to journalArticle


OBJECTIVES: To evaluate hospital readmission rates and mortality at 6-month follow-up in selected elderly patients with acute exacerbation of chronic obstructive pulmonary disease (COPD). DESIGN: Prospective randomized, controlled, single-blind trial with 6-month follow-up. SETTING: San Giovanni Battista Hospital of Torino. PARTICIPANTS: One hundred four elderly patients admitted to the hospital for acute exacerbation of COPD were randomly assigned to a general medical ward (GMW, n=52) or to a geriatric home hospitalization service (GHHS, n=52). MEASUREMENTS: Measurements of baseline sociodemographic information; clinical data; functional, cognitive, and nutritional status; depression; and quality of life were obtained. RESULTS: There was a lower incidence of hospital readmissions for GHHS patients than for GMW patients at 6-month follow-up (42% vs 87%, P

Original languageEnglish (US)
Pages (from-to)493-500
Number of pages8
JournalJournal of the American Geriatrics Society
Issue number3
StatePublished - Mar 2008



  • COPD exacerbation
  • Elderly
  • Hospital at home

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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