Model of hospital-supported discharge after stroke

Stroke; a Journal of Cerebral Circulation
Claus Rydahl TorpJens Olsen

Abstract

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. 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. 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. 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.

References

Feb 1, 1997·Archives of Physical Medicine and Rehabilitation·P M PedersenT S Olsen
Feb 24, 1999·JAMA : the Journal of the American Medical Association·M D NaylorJ S Schwartz
May 16, 2000·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·M BraininV Demarin
Apr 6, 2002·Stroke; a Journal of Cerebral Circulation·Philippa ClarkeAngela Colantonio
Mar 8, 2003·Stroke; a Journal of Cerebral Circulation·Wilma M Hopman, Jane Verner

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Citations

Sep 1, 2007·Current Opinion in Critical Care·Jeremy M Kahn, Derek C Angus
Mar 29, 2014·Disability and Rehabilitation·Louise A GustafssonMelanie F Hoyle
Jul 14, 2010·Neurologia i neurochirurgia polska·Izabela SkibickaAndrzej Członkowski
Aug 19, 2008·Journal of Clinical Nursing·Jan PringleElla McLafferty
Oct 25, 2013·Singapore Medical Journal·Yee Sien NgKeng He Kong
Aug 4, 2011·Scandinavian Journal of Public Health·Marie Kruse, Terkel Christiansen
Jul 14, 2017·The Cochrane Database of Systematic Reviews·Peter LanghorneUNKNOWN Early Supported Discharge Trialists

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