Home versus day rehabilitation: a randomised controlled trial

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dc.contributor.authorCrotty, M.
dc.contributor.authorGiles, L.
dc.contributor.authorHalbert, J.
dc.contributor.authorHarding, J.
dc.contributor.authorMiller, M.
dc.date.issued2008
dc.descriptionFirst published online: August 23, 2008
dc.description.abstractObjective: 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.
dc.description.statementofresponsibilityMaria Crotty, Lynne C. Giles, Julie Halbert, Julie Harding, and Michelle Miller
dc.identifier.citationAge and Ageing, 2008; 37(6):628-633
dc.identifier.doi10.1093/ageing/afn141
dc.identifier.issn0002-0729
dc.identifier.issn1468-2834
dc.identifier.orcidGiles, L. [0000-0001-9054-9088]
dc.identifier.urihttp://hdl.handle.net/2440/55324
dc.language.isoen
dc.publisherOxford Univ Press
dc.rightsCopyright © 2008 British Geriatrics Society
dc.source.urihttps://doi.org/10.1093/ageing/afn141
dc.subjectambulatory rehabilitation
dc.subjectday rehabilitation
dc.subjecthome rehabilitation
dc.subjectrandomised controlled trial
dc.subjectelderly
dc.titleHome versus day rehabilitation: a randomised controlled trial
dc.typeJournal article
pubs.publication-statusPublished

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