Home versus day rehabilitation: a randomised controlled trial.

Age and Ageing
Maria CrottyMichelle Miller

Abstract

to assess the effect of home versus day rehabilitation on patient outcomes. randomised controlled trial. post-hospital rehabilitation. two hundred and twenty-nine hospitalised patients referred for ambulatory rehabilitation. hospital-based day rehabilitation programme versus home-based rehabilitation programme. 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. 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. 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.

References

Nov 1, 1975·Journal of Psychiatric Research·M F FolsteinP R McHugh
Feb 1, 1991·Journal of the American Geriatrics Society·D Podsiadlo, S Richardson
Jan 1, 1989·Journal of Clinical Epidemiology·S ShahB Cooper
May 1, 1983·Journal of Gerontology·B C Robinson
Jan 1, 1982·Journal of Psychiatric Research·J A YesavageV O Leirer
Dec 1, 1995·Archives of Physical Medicine and Rehabilitation·B Bernspång, A G Fisher
Mar 26, 1999·BMJ : British Medical Journal·A ForsterP Langhorne
Dec 8, 1996·Australian Health Review : a Publication of the Australian Hospital Association·G A Caplan, A Brown
Jul 10, 1999·Social Science & Medicine·M A Sprangers, C E Schwartz
Oct 9, 2004·Stroke; a Journal of Cerebral Circulation·Gert KwakkelPeter Langhorne
Dec 22, 2004·Qualitative Health Research·Anne RogersAndrew Robinson
Feb 12, 2005·Lancet·Ronald Meijer, Jacques van Limbeek
Apr 23, 2005·The Cochrane Database of Systematic Reviews·UNKNOWN Early Supported Discharge Trialists
Oct 10, 2008·The Cochrane Database of Systematic Reviews·Anne ForsterPeter Langhorne

❮ Previous
Next ❯

Citations

Jul 16, 2013·Archives of Physical Medicine and Rehabilitation·Laurence Seematter-BagnoudChristophe J Büla
Oct 3, 2008·Age and Ageing·John Young, Anne Forster
Nov 26, 2010·Age and Ageing·Anne Forster, John Young
Sep 14, 2011·Age and Ageing·Marion E T McMurdoUNKNOWN Age and Ageing Specialty Group, NIHR, Comprehensive Clinical Research Network
Apr 28, 2010·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Tracy A ComansTerry P Haines
May 26, 2015·Scandinavian Journal of Occupational Therapy·Tina TauleJan Sture Skouen
Jan 29, 2016·Tijdschrift voor gerontologie en geriatrie·Rachel G MakMarja F I A Depla
Aug 25, 2010·Archives of Gerontology and Geriatrics·James Ka Hay LukLeung Wing Chu
Oct 21, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Jing ChenChuan-Cheng Ren
Jan 24, 2013·Journal of Nursing Management·Jytte H StruweJette Lind
Mar 24, 2016·African Journal of AIDS Research : AJAR·Saul CobbingHellen Myezwa
Apr 9, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Yu-Jin ChaJin Lee
Oct 21, 2016·Journal of the American Geriatrics Society·Márlon J R AlibertiWilson Jacob-Filho
Nov 2, 2016·The Cochrane Database of Systematic Reviews·Andy CochraneMichael Donnelly
Apr 11, 2018·Disability and Rehabilitation·Laura AllenRobert Teasell
Jan 10, 2018·Scandinavian Journal of Occupational Therapy·Aila PikkarainenAnneli Eteläpelto
Jun 24, 2015·The Cochrane Database of Systematic Reviews·Lesley BrownUNKNOWN Day Hospital Group
Jul 23, 2020·Frontiers in Neurology·Echezona Nelson Dominic EkechukwuMayowa Ojo Owolabi

❮ Previous
Next ❯

Software Mentioned

Stata
SPSS
Excel

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.