Stroke rehabilitation after hospital discharge: a randomized trial comparing domiciliary and day-hospital care

Roderick, Paul; Low, Joseph; Day, Richard O.; Peasgood, Tessa; Mullee, Mark; Turnbull, Joanne; Villar, T. G.; Raftery, James

doi:10.1093/ageing/30.4.303

Cited by 86 publications

(41 citation statements)

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“…body function or activity/participation, and how to assess this. A study conducted in Great Britain compared domiciliary and geriatric day hospital care in order to investigate cost effectiveness, where there was an expectation that domiciliary care could have the advantages of greater involvement of the informal caregiver and a natural context (Roderick et al 2001). No significant differences were found.…”

Section: Discussionmentioning

confidence: 99%

Does a short period of rehabilitation in the home setting facilitate functioning after stroke? A randomized controlled trial

Björkdahl¹,

Nilsson²,

Grimby³

et al. 2006

Clin Rehabil

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Section: Discussionmentioning

confidence: 99%

Does a short period of rehabilitation in the home setting facilitate functioning after stroke? A randomized controlled trial

Björkdahl¹,

Nilsson²,

Grimby³

et al. 2006

Clin Rehabil

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“…they provided therapy for a period of 6 months (30, 31) or as long as needed (32). the third type of intervention (rehabilitation) aimed to improve functional outcome and skills and involved disciplines such as physiotherapists, occupational therapists, physicians and speech therapists (27,35,36). the duration of the programme varied between 3 weeks (27) to as long as needed (35), as well as varying in intensity.…”

Section: Description Of Interventionmentioning

confidence: 99%

Multidisciplinary care for stroke patients living in the community: A systematic review

Fens¹,

Vluggen²,

Haastregt³

et al. 2013

J Rehabil Med

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Objective: A systematic review of randomized controlled trials was performed to evaluate the effectiveness of multidisciplinary care for stroke patients living in the community. Data sources: Databases PubMed, EMBASE, CINAHL and the Cochrane Library from January 1980 until July 2012. Study selection: Randomized controlled trials focused on multidisciplinary interventions for stroke patients living at home after hospitalization or inpatient rehabilitation were selected. The outcome domains were activities of daily living, social participation and quality of life. A total of 14 studies were included. Data extraction: Two authors independently extracted the data and independently assessed the quality of reporting of the included studies using the Consolidated Standards of Reporting Trials (CONSORT) statement 2010. Data synthesis: None of the studies showed favourable effects of the intervention on activities of daily living and none assessed social participation. Furthermore, two studies reported favourable effects of the intervention in terms of quality of life. These concerned an intervention combining assessment with follow-up care and a rehabilitation intervention. Conclusion: There is little evidence for the effectiveness of multidisciplinary care for stroke patients being discharged home. Additional research should provide more insight into potentially effective multidisciplinary care for communityliving stroke patients.

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“…Comparing this study with other early discharge studies is very difficult. This is partly attributable to a wide variety in domiciliary services and already established cooperation between primary and secondary health care systems, 4,8,14,[33][34][35][36] and partly attributable to a very varied patient selection, eg, depending on patients' functional capacity 12 or a requirement of caregivers at home. 28 Furthermore, the term "standard aftercare" conceals many different treatment and rehabilitation programs.…”

Section: Rydahl Torp Et Al Model Of Hospital-supported Discharge Aftementioning

confidence: 99%

Model of Hospital-Supported Discharge After Stroke

Torp

Vinkler

Pedersen

et al. 2006

Stroke

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Background and Purpose-Readmission rate within 6 months after a stroke is 40% to 50%. The purpose of the project was to evaluate whether an interdisciplinary stroke team could reduce length of hospital stay, readmission rate, increase patient satisfaction and reduce dependency of help. Methods-One hundred and ninety-eight patients with acute stroke were randomized into 103 patients whose discharge was supported by an interdisciplinary stroke team and 95 control patients who received standard aftercare. Baseline characteristics were comparable in the 2 groups. The patients were evaluated after 6 and 12 months regarding functional status and need for help. Results-Length of hospital admission was insignificantly shorter in the intervention compared with the control group (35.2 versus 39.8 days). There was no significant difference in readmission, GP-visits, and primary health care services. Furthermore, there was no significant difference in functional scores or patient satisfaction. Conclusions-In this setting we could not show benefit of an interdisciplinary stroke team supporting patients at discharge perhaps because standard aftercare was very efficient already. (Stroke. 2006;37:1514-1520.)

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Stroke rehabilitation after hospital discharge: a randomized trial comparing domiciliary and day-hospital care

Cited by 86 publications

References 0 publications

Does a short period of rehabilitation in the home setting facilitate functioning after stroke? A randomized controlled trial

Does a short period of rehabilitation in the home setting facilitate functioning after stroke? A randomized controlled trial

Multidisciplinary care for stroke patients living in the community: A systematic review

Model of Hospital-Supported Discharge After Stroke

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