The Community In-reach Rehabilitation and Care Transition (CIRACT) clinical and cost-effectiveness randomisation controlled trial in older people admitted to hospital as an acute medical emergency.

ABSTRACT:

Objective

To compare the clinical and cost-effectiveness of a Community In-reach Rehabilitation and Care Transition (CIRACT) service with the traditional hospital-based rehabilitation (THB-Rehab) service.

Design

Pragmatic randomised controlled trial with an integral health economic study.

Settings

Large UK teaching hospital, with community follow-up.

Subjects

Frail older people aged 70 years and older admitted to hospital as an acute medical emergency.

Measurements

Primary outcome: hospital length of stay; secondary outcomes: readmission, day 91-super spell bed days, functional ability, co-morbidity and health-related quality of life; cost-effectiveness analysis.

Results

A total of 250 participants were randomised. There was no significant differe

SUBMITTER: Sahota O 

PROVIDER: S-EPMC5377906 | biostudies-literature | 2017 Jan

REPOSITORIES: biostudies-literature