Contact information
Type
Scientific
Primary contact
Prof John Young
ORCID ID
Contact details
Academic Unit of Elderly Care and Rehabilitation
University of Leeds
St Luke's Hospital
Little Horton Lane
Bradford
BD5 0NA
United Kingdom
+44 (0) 127 436 5311
john.young@bradfordhospitals.nhs.uk
Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
121/7509
Study information
Scientific title
Acronym
The 'PATCH' study
Study hypothesis
1. 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
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).
Study design
A mixed methods design incorporating a single 'blind', randomised, prospective multi-centre trial implemented in five study locations
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Hospitals
Trial type
Quality of life
Patient information sheet
Condition
All older patients admitted to the department of elderly care.
Intervention
Intervention 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 type
Other
Phase
Not Specified
Drug names
Primary outcome measures
1. Patient: Nottingham Extended Activities of Daily Living Scale
2. Carer: General Health Questionnaire 28
Secondary outcome measures
1. 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 trial start date
01/03/2000
Overall trial end date
01/03/2003
Reason abandoned
Eligibility
Participant inclusion criteria
All 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.
Participant type
Patient
Age group
Senior
Gender
Both
Target number of participants
500
Participant exclusion criteria
Acutely ill or medically unstable patients will be exluded.
Recruitment start date
01/03/2000
Recruitment end date
01/03/2003
Locations
Countries of recruitment
United Kingdom
Trial participating centre
Academic Unit of Elderly Care and Rehabilitation
Bradford
BD5 0NA
United Kingdom
Sponsor information
Organisation
National Institute for Health Research Central Commissioning Facility (NIHR-CCF) (UK)
Sponsor details
PO Box 407
Teddington
TW11 0XX
United Kingdom
Sponsor type
Government
Website
Funders
Funder type
Government
Funder name
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.
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
Results in:
1. http://www.ncbi.nlm.nih.gov/pubmed/18515290 (cost-effective analysis)
2. http://www.ijtr.co.uk/cgi-bin/go.pl/library/contents.html?uid=1557&journal_uid=16
Publication citations
-
O'Reilly J, Lowson K, Green J, Young JB, Forster A, Post-acute care for older people in community hospitals--a cost-effectiveness analysis within a multi-centre randomised controlled trial., Age Ageing, 2008, 37, 5, 513-520, doi: 10.1093/ageing/afn120.