Age and Ageing, Vol 29, 137-142, Copyright © 2000 by British Geriatrics Society
D Gunnell, J Coast, S Richards, T Peters, J Pounsford and M Darlow
Objective. To assess the effects of an early discharge
hospital-at-home scheme on self-reported carer strain and quality of
life.Design. A randomized controlled
trial.Setting. Bristol, UK.Subjects.
133 carers of patients receiving either early discharge from
hospital to hospital-at-home (n
ARTICLES
How great a burden does early discharge to hospital-at-home impose on carers? A randomized controlled trial
Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, UK; Care of the Elderly Department, Frenchay Hospital, Frenchay Park Road, Bristol BS16 1LE, UK; Hospital at Home Team, Community Directorate, Frenchay Hospital, Frenchay Park Road, Bristol, BS16 1LE, UK; Corresponding author; Fax: (+44) 117 928736; E-mail: D.J.Gunnell@Bristol.ac.uk
93) care or usual
hospital care and discharge (n40).Outcome
measures. Modified 12-item Carer Strain Index, COOP-WONCA charts
and EuroQol EQ-5D at 4 weeks and 3 months
post-randomization.Results. The mean age of carers was
65 years; 56% were women. There were no marked differences between the
groups in any of the outcomes used at either 4-week or 3-month
follow-up.Conclusion. There was no evidence of
increased self-reported burden imposed on carers of patients discharged
early from hospital. Decisions on the implementation of hospital-at-home
schemes should be influenced by considerations of cost and effectiveness
rather than effects on carers. The effects on carers may, however, differ
for other forms of home-based care.Keywords: carers,
hospital-at-home, older people, quality of life, randomized controlled
trial
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