Children diagnosed with type 1 diabetes: a randomized controlled trial comparing hospital versus home-based care.
Tiberg, Irén LU ; Steen Carlsson, Katarina LU
; Carlsson, Annelie
LU
and Hallström, Inger
LU
(2012)
In Acta paediatrica
101(10).
p.1069-1073
- Abstract
- Aim:
To compare two different regimens for children diagnosed with type 1 diabetes: hospital-based care or hospital-based home care (HBHC), referring to specialist care in a home-based setting.
Method:
The trial took place in Sweden with a randomized controlled design and included 60 children, aged 3-15 years. After 2-3 days with hospital-based care, children were randomized to either continued hospital-based care or to HBHC for 6 days. The primary outcome was the child's metabolic control after 2 years. Secondary outcomes were set to evaluate the family and child situation as well as the healthcare services. This article presents data 6 months after diagnosis.
Results:
... (More) - Aim:
To compare two different regimens for children diagnosed with type 1 diabetes: hospital-based care or hospital-based home care (HBHC), referring to specialist care in a home-based setting.
Method:
The trial took place in Sweden with a randomized controlled design and included 60 children, aged 3-15 years. After 2-3 days with hospital-based care, children were randomized to either continued hospital-based care or to HBHC for 6 days. The primary outcome was the child's metabolic control after 2 years. Secondary outcomes were set to evaluate the family and child situation as well as the healthcare services. This article presents data 6 months after diagnosis.
Results:
Results showed equivalence between groups in terms of metabolic control, insulin dose, parents' employment and working hours as well as parents' and significant others' absence from work related to the child's diabetes. Parents in the HBHC were more satisfied with the received health care and showed less subsequent healthcare resource use. The level of risk for the family's psychosocial distress assessed at diagnosis was associated with the subsequent use of resources, but not with metabolic control.
Conclusion:
HBHC was found to be an equally safe and effective way of providing care as hospital-based care at the onset of type 1 diabetes for children who are medically stable. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/2967538
- author
- Tiberg, Irén
LU
; Steen Carlsson, Katarina
LU
; Carlsson, Annelie
LU
and Hallström, Inger
LU
- organization
- publishing date
- 2012
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Acta paediatrica
- volume
- 101
- issue
- 10
- pages
- 1069 - 1073
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000308206300021
- pmid:22759081
- scopus:84865660721
- pmid:22759081
- ISSN
- 1651-2227
- DOI
- 10.1111/j.1651-2227.2012.02775.x
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Paediatrics (Lund) (013002000), Health Economics (013240036), Division of Nursing (Closed 2012) (013065000)
- id
- 6a98549a-7df6-4e01-a402-98a72b2b2840 (old id 2967538)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/22759081?dopt=Abstract
- date added to LUP
- 2016-04-04 09:05:08
- date last changed
- 2023-09-05 19:06:01
@article{6a98549a-7df6-4e01-a402-98a72b2b2840,
abstract = {{Aim: <br/><br>
To compare two different regimens for children diagnosed with type 1 diabetes: hospital-based care or hospital-based home care (HBHC), referring to specialist care in a home-based setting. <br/><br>
<br/><br>
Method: <br/><br>
The trial took place in Sweden with a randomized controlled design and included 60 children, aged 3-15 years. After 2-3 days with hospital-based care, children were randomized to either continued hospital-based care or to HBHC for 6 days. The primary outcome was the child's metabolic control after 2 years. Secondary outcomes were set to evaluate the family and child situation as well as the healthcare services. This article presents data 6 months after diagnosis. <br/><br>
<br/><br>
Results: <br/><br>
Results showed equivalence between groups in terms of metabolic control, insulin dose, parents' employment and working hours as well as parents' and significant others' absence from work related to the child's diabetes. Parents in the HBHC were more satisfied with the received health care and showed less subsequent healthcare resource use. The level of risk for the family's psychosocial distress assessed at diagnosis was associated with the subsequent use of resources, but not with metabolic control. <br/><br>
<br/><br>
Conclusion: <br/><br>
HBHC was found to be an equally safe and effective way of providing care as hospital-based care at the onset of type 1 diabetes for children who are medically stable.}},
author = {{Tiberg, Irén and Steen Carlsson, Katarina and Carlsson, Annelie and Hallström, Inger}},
issn = {{1651-2227}},
language = {{eng}},
number = {{10}},
pages = {{1069--1073}},
publisher = {{Wiley-Blackwell}},
series = {{Acta paediatrica}},
title = {{Children diagnosed with type 1 diabetes: a randomized controlled trial comparing hospital versus home-based care.}},
url = {{http://dx.doi.org/10.1111/j.1651-2227.2012.02775.x}},
doi = {{10.1111/j.1651-2227.2012.02775.x}},
volume = {{101}},
year = {{2012}},
}