TREATMENT
Hospital and home rehabilitation did not differ for functional competence in activities of daily living
| The first 150 words of the full text of this article appear below. |
In patients discharged from hospital and referred for rehabilitation, how does home rehabilitation compare with hospital rehabilitation?
Design: randomised controlled trial. ACTRN 12605000638639.
Allocation: concealed.
Blinding: blinded (occupational therapist, {data collectors, outcome assessors, and data analysts}*).
Follow-up period: 6 months.
Setting: patients homes or day hospitals in Adelaide, Australia.
Patients:
229 patients (mean age 72 y, 52% women) who were medically stable, ready to be discharged from hospital, and required
12 rehabilitation sessions. Patients were excluded if they lived outside of the health region or were judged by the referring physician to be unsuitable for rehabilitation.
Intervention:
rehabilitation in a day hospital (n = 113) or at home (n = 116). Hospital rehabilitation consisted of 3-hour high-intensity individual or group sessions, 3–5 times/week for 4–6 weeks. Home rehabilitation consisted of 3–5 one-on-one sessions/week. Sessions comprised physiotherapy, occupational therapy, speech therapy, social work, psychology, dietetics, nursing, and access to a rehabilitation
Florence Nightingale School of Nursing and Midwifery King's College London London, UK
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