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Centre for Policy on Ageing | |
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Rehabilitation of older patients day hospital compared with rehabilitation at home: clinical outcomes | Author(s) | Stuart G Parker, Philip Oliver, Mark Pennington |
Journal title | Age and Ageing, vol 40, no 5, September 2011 |
Pages | pp 557-562 |
Source | http://ageing.oxfordjournals.org/ http://www.bgs.org.uk/ |
Keywords | Patients ; Rehabilitation ; Aftercare ; Day hospitals ; Comparison ; Clinical surveys. |
Annotation | The study aimed to test the hypothesis that older people and their informal carers are not disadvantaged by home-based rehabilitation (HBR) relative to day hospital rehabilitation (DHR). 89 older patients referred for multidisciplinary rehabilitation took part in the study which centred around four geriatric day hospitals and four home rehabilitation teams in England. The primary outcome measure was the Nottingham extended activities of daily living scale (NEADL). Secondary outcome measures included EQ-5D (standardised instrument for measuring health outcomes), hospital anxiety and depression scale, therapy outcome measures, hospital admissions and the General Health Questionnaire for carers. At the primary end point of six months NEADL scores were not significantly in favour of HBR compared with DHR. A post hoc analysis suggested non-inferiority for HBR for NEADL but there was considerable statistical uncertainty. Taken together the statistical analyses and lack of power of the trial outcomes do not provide sufficient evidence to conclude that patients in receipt of HBR are disadvantaged compared with those receiving DHR. (JL). |
Accession Number | CPA-110922011 A |
Classmark | LF: LM: LN: LDD: 48: 3G |
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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