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Home based care improved glycaemic control and was cost effective in children with type 1 diabetes

https://doi.org/10.1136/ebn.2.4.114

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    Dougherty G, Schiffrin A, White D, et al. Home-based management can achieve intensification cost-effectively in type 1 diabetes. Pediatrics1999 Jan; 103:122–8.OpenUrlAbstract/FREE Full Text

    Question Is a home based care programme more effective for glycaemic control and more cost effective than conventional hospital based care in children with newly diagnosed type 1 diabetes mellitus?

    Design

    Randomised, unblinded, controlled trial with 3 years follow up.

    Setting

    An emergency department of a secondary and tertiary care paediatric teaching hospital in Montreal, Quebec, Canada.

    Patients

    63 consecutive children (mean age 10 y, 56% girls) who were newly diagnosed with type 1 diabetes, >2 years of age, living at home and within 1 hour of the hospital, and who had no sibling with type 1 diabetes. Follow up was 100%.

    Intervention

    Within 72 hours of diagnosis, children were allocated to either home based care (n=32) or hospital based care (n=31). Children allocated to home based care had insulin treatment and …

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    Footnotes

    • Source of funding: National Health Research and Development Program of Canada.

    • For correspondence: Dr G Dougherty, The Montreal Children's Hospital, 2300 Tupper Street, Room A-216, Montreal, Quebec H3H 1P3, Canada. Fax +1 514 934 4424.