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

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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 …

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Footnotes

  • * Information provided by author.

  • Sources of funding: North West Regional Office and Wirral Health Authority.

  • For correspondence: Dr M J Maxwell, Arrowe Park Hospital, Upton, Wirral, UK.sam.sartain{at}whnt.nhs.uk