Home versus day rehabilitation: a randomised controlled trial

نویسندگان

  • Maria Crotty
  • Lynne C. Giles
  • Julie Halbert
  • Julie Harding
  • Michelle Miller
چکیده

OBJECTIVE to assess the effect of home versus day rehabilitation on patient outcomes. DESIGN randomised controlled trial. SETTING post-hospital rehabilitation. PARTICIPANTS two hundred and twenty-nine hospitalised patients referred for ambulatory rehabilitation. INTERVENTIONS hospital-based day rehabilitation programme versus home-based rehabilitation programme. MAIN OUTCOME MEASURES at 3 months, information was collected on hospital readmission, transfer to residential care, functional level, quality of life, carer stress and carer quality of life. At 6 months, place of residence, hospital re-admissions and mortality status were collected. RESULTS there were significant improvements in the functional outcomes from baseline to 3 months for all participants. At discharge, carers of patients in day hospital reported higher Caregiver Strain Index (CSI) scores in comparison to home rehabilitation carers (4.95 versus 3.56, P = 0.047). Patients in day hospital had double the risk of readmission compared to those in home rehabilitation (RR = 2.1; 95% CI 1.2-3.9). This effect persisted at 6 months. CONCLUSIONS day hospital patients are more likely to be readmitted to hospital possibly due to increased access to admitting medical staff. This small trial favours the home as a better site for post-hospital rehabilitation.

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عنوان ژورنال:
  • Age and Ageing

دوره 37  شماره 

صفحات  -

تاریخ انتشار 2008