Sartain 2001.
Methods | Randomised controlled trial Sample size calculation Intention‐to‐treat analysis conducted | |
Participants | 399 children with acute paediatric illness (breathing difficulty, diarrhoea and vomiting or fever)
Median age 13 to 15 months (range 6 weeks to 12 years) 240 boys (60%), 159 girls (40%) 100% follow‐up |
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Interventions | 'Hospital at Home' vs usual inpatient paediatric care | |
Outcomes | Readmissions within 90 days of discharge
Length of stay
Qualitative assessment of parental and patient satisfaction
Cost effectiveness of both types of care Data collected over 17 months |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "Patients were randomised using a sealed numbered and opaque envelope technique." |
Allocation concealment (selection bias) | Low risk | As above |
Blinding (performance bias and detection bias) All outcomes | High risk | Comment: It is unlikely that participants and personnel were blinded to intervention measures of "hospital at home care" vs "conventional hospital care" in this study. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | As above |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Comment: The independent clinician verified the diagnoses for all participants readmitted but it is unclear whether all study data were assessed by independent researchers. |
Incomplete outcome data (attrition bias) All outcomes | High risk | Comment: The qualitative data collection included a purposive sample of 40 families which is 1/10th of the total study population. |
Selective reporting (reporting bias) | Low risk | Comment: outcome data were presented for all outcomes reported as measured. |
Other bias | Low risk | Comment: none was identified. |