Condition category
Not Applicable
Date applied
03/07/2006
Date assigned
14/07/2006
Last edited
01/09/2008
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

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

http://www.nihr-ccf.org.uk/site/default.cfm

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

  1. 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.

Additional files

Editorial Notes