Hospital at Home Outcomes and Cost Analysis for 2,905 Episodes

Michael Shaw authored a retrospective cohort study analyzing 2,972 episodes of Hospital at Home care in England. The dataset compares outcomes for 1,488 matched patient pairs against inpatient controls, covering admissions from December 2021 to May 2024. It evaluates primary outcomes like length of stay and cost, alongside secondary metrics including 30-day readmission and 90-day mortality.

Use Cases

• Model length_of_stay prediction using patient cohort and care pathway features.
• Analyze 30_day_readmission_rate differences between Hospital at Home and inpatient cohorts.
• Estimate total_bed_day_costs and net savings from propensity-matched patient episodes.
• Investigate the relationship between care pathway and 90_day_mortality odds ratios.
• Compare patient_experience_metrics across different home care treatment groups.

Strengths

• 2,972 care episodes provide a substantial clinical cohort for analysis.
• Propensity score matching created 1,488 matched pairs for robust comparison.
• Data covers a 33-month period from December 2021 to May 2024.
• Outcomes include statistically significant measures with confidence intervals and p-values.

Limitations

• Dataset is small in file size (18.6 KB), likely containing summary results rather than patient-level records.
• Geographic scope is limited to a single service in England, limiting generalizability.
• Underlying patient-level data for features like age or comorbidities is not available in this summary document.

Provenance

Source

Michael Shaw via figshare.

Collection Method

Retrospective cohort study using propensity score matching on hospital service data.

Time Range

December 2021 to May 2024.

Freshness

Data covers periods up to May 2024 and was last updated in April 2026.

Geography

England (specific Hospital at Home service).