Randomised controlled trial comparing hospital at home with hospital care

ISRCTN	ISRCTN47826365
DOI	https://doi.org/10.1186/ISRCTN47826365
Protocol serial number	PSI - 637
Sponsor	Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)
Funder	NHS Primary and Secondary Care Interface National Research and Development Programme (UK)

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Plain English summary of protocol

Not provided at time of registration

Dr Sasha Shepperd
Scientific

Primary Care and General Practice
Imperial College School of Medicine
Norfolk Place
London
W2 1PG
United Kingdom

Phone	+44 (0)207 594 3364
Email	S.Shepperd@ic.ac.uk

Primary study design	Observational
Study design	Randomised controlled trial
Secondary study design	Randomised controlled trial
Scientific title
Study objectives	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(s)	Not provided at time of registration
Health condition(s) or problem(s) studied	Healthcare delivery costs
Intervention	i. Hospital at home ii. In-patient hospital care
Intervention type	Other
Primary outcome measure(s)	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.
Key secondary outcome measure(s)	Not provided at time of registration
Completion date	01/12/1998

Participant type(s)	Patient
Age group	Senior
Sex	Not Specified
Key inclusion criteria	Elderly medical, chronic obstructive airways disease, patients recovering from a hip replacement, knee replacement, and hysterectomy.
Key exclusion criteria	Not provided at time of registration
Date of first enrolment	01/09/1996
Date of final enrolment	01/12/1998

Primary Care and General Practice

London
W2 1PG
United Kingdom

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
IPD sharing plan

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Results article	cost minimisation analysis results	13/06/1998		Yes	No
Results article	three month follow results	13/06/1998		Yes	No