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

https://doi.org/10.1136/ebn.6.3.73

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    Sartain SA, Maxwell MJ, Todd PJ, et al.Randomised controlled trial comparing an acute paediatric hospital at home scheme with conventional hospital care.Arch Dis Child2002;87:371–5OpenUrlAbstract/FREE Full Text

    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