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Evidence-Based Nursing 2009;12:84; doi:10.1136/ebn.12.3.84
Copyright © 2009 by BMJ Publishing Group Ltd & RCN Publishing Company Ltd.

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.

QUESTION

In patients discharged from hospital and referred for rehabilitation, how does home rehabilitation compare with hospital rehabilitation?

METHODS

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 . . . [Full text of this article]

Margaret Edwards

Florence Nightingale School of Nursing and Midwifery King's College London London, UK


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