Common Acute Problems
Conditions
Keywords
acute home care
Brief summary
To assess the hypothesis that In Home Hospital Care (IHHC) is as safe and effective, less burdensome to families, and less expensive for care of common acute pediatric problems now managed with hospitalization.
Detailed description
A randomized trial compared health care systems with and without IHHC. Eligible children presented to the Emergency Department of our medical center, had common acute problems, and were considered for hospital admission. Physicians decided disposition from the emergency department. Note that subjects were not randomized directly to IHHC but to a system of care that either included IHHC or did not. To allow best use of scarce home nursing resources, we used a disproportionate selection favoring the system with IHHC. Quality measures included adverse events, parent anxiety and satisfaction with care, family disruption, and perceived child health.
Interventions
PROCEDUREpediatric nursing used in home to avoid hospitalization
Sponsors
National Institute of Nursing Research (NINR)
University of Rochester
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 18 Years
Healthy volunteers
No
Inclusion criteria
Randomized from acute care clients presenting in Emergency Department to IHHC
Exclusion criteria
Randomized from acute care clients presenting in Emergency Department to inpatient hospital care.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| IHHC delivers a more valuable service at lower cost. | — |
Countries
United States
Outcome results
None listed