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. 2021 Sep 30;374:n2209. doi: 10.1136/bmj.n2209

Table 2.

Outcomes within 31 days of hospital discharge by group allocation. Values are numbers (percentages) unless stated otherwise

Outcome Virtual care and RAM (n=451) Standard care (n=454) Relative risk* (95% CI) Absolute difference, % (95% CI)† P value
Primary outcome
Mean (SD) No of days alive at home 29.7 (3.9) 29.5 (3.8) 1.01 (0.99 to 1.02) 0.2 (−0.5 to 0.9) ^ 0.53
Secondary outcomes
Acute hospital care 99 (22.0) 124 (27.3) 0.80 (0.64 to 1.01) 5.3 (−0.3 to 10.9) 0.06
Brief acute hospital care 62 (13.7) 82 (18.1) 0.75 (0.56 to 1.02) 4.4 (−0.4 to 9.2) 0.07
Hospital readmission 43 (9.5) 58 (12.8) 0.77 (0.53 to 1.11) 3.3 (−0.8 to 7.4) 0.16
Emergency department visit 89 (19.7) 111 (24.4) 0.81 (0.64 to 1.04) 4.7 (−0.7 to 10.1) 0.10
Urgent care centre visit 4 (0.9) 9 (2.0) NR‡ 1.1 (−0.5 to 2.7) 0.26
Median (IQR) all cause hospital days 0 (0-0) 0 (0-0) 0.89 (0.59 to 1.35) 0.1 (0.0 to 0.2)§ 0.59
Death 3 (0.7) 3 (0.7) NR‡ 0 1.00
Detection of drug error 134 (29.7) 25 (5.5) 5.29 (3.52 to 7.93) 24.2 (19.5 to 28.9) <0.001
Correction of drug error 128 (28.4) 18 (4.0) 7.01 (4.36 to 11.52) 24.4 (19.9 to 28.9) <0.001
Pain after randomisation (days)¶:
 7 227/386 (58.8) 309/425 (72.7) 0.81 (0.73 to 0.90) 13.9 (7.4 to 20.4) <0.001
 15 193/402 (48.0) 248/414 (59.9) 0.80 (0.71 to 0.91) 11.9 (5.1 to 18.7) <0.001
 30 144/411 (35.0) 184/413 (44.6) 0.80 (0.67 to 0.94) 9.6 (2.9 to 16.3) <0.008

RAM=remote automated monitoring; IQR=interquartile range; NR=not reported; SD=standard deviation.

*

Using modified Poisson model.

Calculated from crude proportions.

A stable relative risk estimate based on a modified Poisson regression was not possible because of too few events.

§

Based on normal approximation to Poisson.

In the virtual care group 85.6%, 89.1%, 91.1% of patients provided data at 7, 15, and 30 days after randomisation, respectively. In the standard care group 93.6%, 91.2%, 90.9% of patients provided pain data at 7, 15, and 30 days after randomisation, respectively.