Condition category
Not Applicable
Date applied
23/01/2004
Date assigned
23/01/2004
Last edited
08/12/2010
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information

Type

Scientific

Primary contact

Dr Sasha Shepperd

ORCID ID

Contact details

Primary Care and General Practice
Imperial College School of Medicine
Norfolk Place
London
W2 1PG
United Kingdom
+44 (0)207 594 3364
S.Shepperd@ic.ac.uk

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

PSI - 637

Study information

Scientific title

Acronym

Study hypothesis

The aim of the trial was to evaluate the health outcomes and costs of hospital at home compared with in-patient hospital care.

Ethics approval

Not provided at time of registration

Study design

Randomised controlled trial

Primary study design

Observational

Secondary study design

Randomised controlled trial

Trial setting

Other

Trial type

Treatment

Patient information sheet

Condition

Healthcare delivery costs

Intervention

i. Hospital at home
ii. In-patient hospital care

Intervention type

Other

Phase

Not Specified

Drug names

Primary outcome measures

General and disease specific health status, patient and carer satisfaction and preferences, readmission rates, length of stay, resource use and cost to the health service, carer burden and anxiety and carer and patient cost. Few differences in outcome were detected. Hospital at home does not reduce total health care costs for the conditions we studied in this trial. Total health care costs are significantly increased for patients recovering from a hysterectomy and those with chronic obstructive airways disease. There is some evidence that costs are shifted to primary care for elderly medical patients and those with chronic obstructive airways disease.

Secondary outcome measures

Not provided at time of registration

Overall trial start date

01/09/1996

Overall trial end date

01/12/1998

Reason abandoned

Eligibility

Participant inclusion criteria

Elderly medical, chronic obstructive airways disease, patients recovering from a hip replacement, knee replacement, and hysterectomy.

Participant type

Patient

Age group

Senior

Gender

Not Specified

Target number of participants

Not provided at time of registration

Participant exclusion criteria

Not provided at time of registration

Recruitment start date

01/09/1996

Recruitment end date

01/12/1998

Locations

Countries of recruitment

United Kingdom

Trial participating centre

Primary Care and General Practice
London
W2 1PG
United Kingdom

Sponsor information

Organisation

Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)

Sponsor details

The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Sponsor type

Government

Website

http://www.doh.gov.uk

Funders

Funder type

Government

Funder name

NHS Primary and Secondary Care Interface National Research and Development Programme (UK)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

1. 2008 three month follow results in http://www.ncbi.nlm.nih.gov/pubmed/9624068
2. 2008 cost minimisation analysis results in http://www.ncbi.nlm.nih.gov/pubmed/9624069

Publication citations

  1. Three month follow results

    Shepperd S, Harwood D, Jenkinson C, Gray A, Vessey M, Morgan P, Randomised controlled trial comparing hospital at home care with inpatient hospital care. I: three month follow up of health outcomes., BMJ, 1998, 316, 7147, 1786-1791.

  2. Cost minimisation analysis results

    Shepperd S, Harwood D, Gray A, Vessey M, Morgan P, Randomised controlled trial comparing hospital at home care with inpatient hospital care. II: cost minimisation analysis., BMJ, 1998, 316, 7147, 1791-1796.

Additional files

Editorial Notes