A multi-centre study to evaluate community hospital care for older people

ISRCTN ISRCTN56520131
DOI https://doi.org/10.1186/ISRCTN56520131
Secondary identifying numbers 121/7509
Submission date
03/07/2006
Registration date
14/07/2006
Last edited
01/09/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof John Young
Scientific

Academic Unit of Elderly Care and Rehabilitation
University of Leeds
St Luke's Hospital
Little Horton Lane
Bradford
BD5 0NA
United Kingdom

Phone +44 (0) 127 436 5311
Email john.young@bradfordhospitals.nhs.uk

Study information

Study designA mixed methods design incorporating a single 'blind', randomised, prospective multi-centre trial implemented in five study locations
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeQuality of life
Scientific title
Study acronymThe 'PATCH' study
Study objectives1. Do older people transferred to a community hospital obtain and maintain a greater degree of functional independence?
2. Is carer burden and strain reduced?
3. Is the patient and carer experience more favourable?
4. Are the "whole system" costs (Health and Social Services combined) comparable or less with the community hospital model of care?
Ethics approval(s)Medical Research Ethics Committee (MREC) approval gained on 1/3/35.

Approval also gained from the following boards:
1. East Cumbria LREC (no reference number).
2. South Birmingham LREC (reference number: 5787M).
3. Northallerton LREC (no reference number).
4. York LREC (reference number: 01/08/012).
Health condition(s) or problem(s) studiedAll older patients admitted to the department of elderly care.
InterventionIntervention group: post-acute care in a community hospital providing a multi-disciplinary rehabilitation approach
Control group: extended general hospital stay with multi-disciplinary care
Intervention typeOther
Primary outcome measure1. Patient: Nottingham Extended Activities of Daily Living Scale
2. Carer: General Health Questionnaire 28
Secondary outcome measures1. Patient:
a. Barthel Index
b. Nottingham Health Profile
c. Hospital Anxiety and Depression Scale
d. Euroqol (EQ5D)scale
e. service satisfaction
f. mortality
g. discharge destination
h. resource use
2. Carer: Carer Strain Index
Overall study start date01/03/2000
Completion date01/03/2003

Eligibility

Participant type(s)Patient
Age groupSenior
SexBoth
Target number of participants500
Key inclusion criteriaAll patients (casualty and direct from general practitioner) admitted to the participating departments of elderly care with a postcode address corresponding to the locality served by the seven Community Hospitals will be eligible for inclusion to the trial.

The patient must be sufficiently medically stable for the non-district general hospital care to be clinically appropriate.
Key exclusion criteriaAcutely ill or medically unstable patients will be exluded.
Date of first enrolment01/03/2000
Date of final enrolment01/03/2003

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Academic Unit of Elderly Care and Rehabilitation
Bradford
BD5 0NA
United Kingdom

Sponsor information

National Institute for Health Research Central Commissioning Facility (NIHR-CCF) (UK)
Government

PO Box 407
Teddington
TW11 0XX
United Kingdom

Website http://www.nihr-ccf.org.uk/site/default.cfm
ROR logo "ROR" https://ror.org/03c1etk80

Funders

Funder type

Government

Department of Health/Medical Research Council (reference number: 1217509) under the umbrella of the National Intermediate Care Evaluation Programme - part of the department's policy research programme to support the national service framework for older people: the Older People and Unscheduled care Services group (OPUS) programme.

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 01/12/2007 Yes No
Other publications 01/09/2008 Yes No