Key result
An early discharge 'hospital at home' scheme for hip fracture patients significantly reduced mean inpatient time (32.5 vs 41.7 days; p<0.001) and total direct costs (£4884 vs £5606; p=0.048).
Why the study?
Does an early discharge scheme with 'hospital at home' reduce costs and hospital bed days in patients with hip fracture?
Population
1,080 consecutively admitted patients with fractured neck of femur
Comparison
Early discharge scheme with 'hospital at home'… vs No early discharge service available in area of…
Design
Cohort
Authors
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Supports cost and bed-day reductions with early discharge; leaves open confirmation in randomized trials before changing hip fracture pathways.
Observational (n=1,080)
Does an early discharge scheme with 'hospital at home' reduce costs and hospital bed days in patients with hip fracture?
Absolute Event Rate: 4884% vs 5606%
p-value: p=0.048
An early discharge 'hospital at home' scheme for hip fracture patients significantly reduces inpatient bed days and total direct healthcare costs.
Hollingworth et al. (1993) conducted an observational in Hip fracture (n=1,080). Early discharge scheme (hospital at home) vs. No early discharge service available was evaluated on Total direct cost to the health service (p=0.048). An early discharge 'hospital at home' scheme for hip fracture patients significantly reduced mean inpatient time (32.5 vs 41.7 days; p<0.001) and total direct costs (£4884 vs £5606; p=0.048).
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