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Centre for Policy on Ageing | |
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Home versus day rehabilitation a randomised controlled trial | Author(s) | Maria Crotty, Lynee C Giles, Julie Halbert |
Journal title | Age and Ageing, vol 37, no 6, November 2008 |
Pages | pp 628-633 |
Source | http://www.ageing.oupjournals.org |
Keywords | Rehabilitation ; Day hospitals ; Aftercare ; Admission [hospitals] ; Comparison ; Clinical surveys ; Australia. |
Annotation | As acute demand for hospital beds increases, rehabilitation is increasingly offered - either day programmes or home programmes, without information on the relative values of each. In this study at three hospital in Adelaide, Southern Australia, 229 hospital patients were referred for rehabilitation. At three months, information was collected on hospital re-admission, transfer to residential care, functional level, quality of life, carer stress and carer quality of life. At 6 months, place of residence, hospital re-admission 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 all patients in day hospitals reported higher Caregiver Strain Index (CSI) scores in comparison to home rehabilitation carers (4.95 versus 3.56). Patients in day hospital had double the risk of readmission compared to those in home rehabilitation. This effect persisted at 6 months. The 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. (RH). |
Accession Number | CPA-081217203 A |
Classmark | LM: LDD: LN: LD:QKH: 48: 3G: 7YA |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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