Trial reportAge and ageing2008
Home versus day rehabilitation: a randomised controlled trial.
Trial report in Age and ageing, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Effectiveness of outpatient geriatric rehabilitation after inpatient geriatric rehabilitation or hospitalisation: a systematic review and meta-analysis.Age and ageing · 2023Pooled it
- Interventions to Prevent or Delay Long-Term Nursing Home Placement for Adults with Impairments-a Systematic Review of Reviews.Journal of general internal medicine · 2020Pooled it
- Pragmatic Solutions for Stroke Recovery and Improved Quality of Life in Low- and Middle-Income Countries-A Systematic Review.Frontiers in neurology · 2020Pooled it
- Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- Time-limited home-care reablement services for maintaining and improving the functional independence of older adults.The Cochrane database of systematic reviews · 2016Pooled it
- Pooled it
- Medical day hospital care for older people versus alternative forms of care.The Cochrane database of systematic reviews · 2015Pooled it
- Ability in daily activities after early supported discharge models of stroke rehabilitation.Scandinavian journal of occupational therapy · 2015Trial
- Trial
- Validating the Safe and Effective Use of a Neurorehabilitation System (InTandem) to Improve Walking in the Chronic Stroke Population: Usability Study.JMIR rehabilitation and assistive technologies · 2023Article
- Organization of Rehabilitation Services in Randomized Controlled Trials: Which Factors Influence Functional Outcome? A Systematic Review.Archives of rehabilitation research and clinical translation · 2022Review
- Identifying elderly patients at risk of readmission after discharge from a short-stay unit in the emergency department using performance-based tests of daily activities.BMC geriatrics · 2020Article
- Evaluating the impact of a home-based rehabilitation service on older people and their caregivers: a matched-control quasi-experimental study.Clinical interventions in aging · 2018Article
- Identifying Malnutrition in an Elderly Ambulatory Rehabilitation Population: Agreement between Mini Nutritional Assessment and Validated Screening Tools.Healthcare (Basel, Switzerland) · 2015Article
- Early indications that low mental quality of life scores in recently unwell older people predict downstream functional decline.Clinical interventions in aging · 2015Article
- A quasi-experimental study on a new service option for short-term residential care of older stroke patients.Clinical interventions in aging · 2013Article
Corrections and comments
- Commented on by
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveto assess the effect of home versus day rehabilitation on patient outcomes.
designrandomised controlled trial.
settingpost-hospital rehabilitation.
participantstwo hundred and twenty-nine hospitalised patients referred for ambulatory rehabilitation.
interventionshospital-based day rehabilitation programme versus home-based rehabilitation programme.
main outcome measuresat 3 months, information was collected on hospital readmission, transfer to residential care, functional level, quality of life, carer stress and carer quality of life. At 6 months, place of residence, hospital re-admissions and mortality status were collected.
resultsthere were significant improvements in the functional outcomes from baseline to 3 months for all participants. At discharge, carers of patients in day hospital reported higher Caregiver Strain Index (CSI) scores in comparison to home rehabilitation carers (4.95 versus 3.56, P = 0.047). Patients in day hospital had double the risk of readmission compared to those in home rehabilitation (RR = 2.1; 95% CI 1.2-3.9). This effect persisted at 6 months.
conclusionsday hospital patients are more likely to be readmitted to hospital possibly due to increased access to admitting medical staff. This small trial favours the home as a better site for post-hospital rehabilitation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.