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Evid Based Nurs 6:73 doi:10.1136/ebn.6.3.73
  • Treatment

Number of readmissions was similar for hospital at home and traditional hospital care for children with moderate illness


 
 QUESTION: Do readmissions and length of care differ for hospital at home (HAH) and traditional hospital care (HC) for moderately ill children with breathing difficulties, diarrhoea with or without vomiting, or a feverish illness?

Design

Randomised {allocation concealed}*, unblinded, controlled trial with follow up to 90 days.

Setting

A large district general hospital in northwest England.

Patients

399 moderately ill children (mean age 25.7 mo, 60% boys) who had breathing difficulties (n=202); diarrhoea with or without vomiting (n=125); or a feverish illness (n=72); and were likely to require ≥24 hours of nursing observation. Exclusion criteria were child unsuitability as judged by the general practitioner (GP), assessing physician, or nurse; child unwillingness or inability to participate; no telephone access; or registration with a GP outside the health authority. 389 children (97%) completed the trial.

Intervention

210 children were allocated to HAH, a nursing scheme that operated 24 hours/day, …

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