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Hospital and home rehabilitation did not differ for functional competence in activities of daily living

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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 …

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