Research
Print page Print page
Switch language
Rigshospitalet - a part of Copenhagen University Hospital
Published

Implementation of discharge recommendations in type 1 diabetes depends on specialist nurse follow-up

Research output: Contribution to journalJournal articleResearchpeer-review

DOI

  1. Is earlier better when it comes giving caffeine to preterm infants or are we risking unnecessary treatment and serious harm?

    Research output: Contribution to journalEditorialResearchpeer-review

  2. Predicting respiratory distress syndrome at birth using a fast test based on spectroscopy of gastric aspirates. 2. Clinical part

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Predicting respiratory distress syndrome at birth using fast test based on spectroscopy of gastric aspirates. 1. Biochemical part

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Children with dyskinetic cerebral palsy are severely affected as compared to bilateral spastic cerebral palsy

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Parental views on the principles for cluster randomised trials involving neonates and infants

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Accessibility, utilisation and acceptability of a county-based home care service for sick children in Sweden

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

AIM: This paper presents an implementation study following previous research including a randomised controlled trial (RCT) of hospital-based home care (HBHC), referring to specialist care in a home-based setting. The aim was to evaluate whether the effects sustained when rolled out into wider practice.

METHODS: In 2013-2014, 42 children newly diagnosed type 1 diabetes were included in the study at a university hospital in Sweden and followed for two years. Measurements of child safety, effects of services, resource use and service quality were included. Descriptive statistics were used to present the results and then discussed in relation to the same intervention of HBHC previously evaluated in an RCT.

RESULTS: Shorter in-hospital stay was partially implemented but increased support after discharge by the diabetes nurse was not. The results indicated that the implemented HBHC was equally effective in terms of child outcomes two years from diagnosis but less effective in terms of parents' outcome. The results furthermore indicated that the quality of services decreased.

CONCLUSION: The suggested overall conclusion was that the implemented HBHC services were safe but had become less effective, at least in relation to the HBHC provided under controlled circumstances.

Original languageEnglish
JournalActa paediatrica
Volume108
Issue number8
Pages (from-to)1515-1520
ISSN1651-2227
DOIs
Publication statusPublished - 2019

ID: 57348237