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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 (Oslo, Norway : 1992) 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:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta paediatrica (Oslo, Norway : 1992)
volume
101
issue
10
pages
1069 - 1073
publisher
Taylor & Francis
external identifiers
  • wos:000308206300021
  • pmid:22759081
  • scopus:84865660721
ISSN
1651-2227
DOI
10.1111/j.1651-2227.2012.02775.x
language
English
LU publication?
yes
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
2012-08-09 16:05:18
date last changed
2017-07-09 04:35:32
@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    = {Taylor & Francis},
  series       = {Acta paediatrica (Oslo, Norway : 1992)},
  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},
  volume       = {101},
  year         = {2012},
}