Crotty Maria, Giles Lynne C, Halbert Julie, Harding Julie, Miller Michelle
Flinders University Department of Rehabilitation and Aged Care, Adelaide SA 5001, Australia.
Age Ageing. 2008 Nov;37(6):628-33. doi: 10.1093/ageing/afn141. Epub 2008 Aug 23.
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.
