Is Stroke Early Supported Discharge still effective in practice? A prospective comparative study
| Autor: | Iskra Potgieter, Amy Moody, Rebecca J Fisher, Adrian Byrne, Catherine Gaynor, Fiona Nouri, Christine S Cobley, Marion F Walker |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
Stroke rehabilitation Early Supported Discharge health services research implementation evidence basedpractice medicine.medical_specialty Evidence-based practice Referral medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Context (language use) Cohort Studies 03 medical and health sciences 0302 clinical medicine Outcome Assessment Health Care Health care medicine Humans Prospective Studies 030212 general & internal medicine Stroke Aged Aged 80 and over Rehabilitation business.industry Health services research Length of Stay Middle Aged medicine.disease Patient Discharge England Patient Satisfaction Physical therapy Female business 030217 neurology & neurosurgery Cohort study |
| Zdroj: | Clinical Rehabilitation. 30:268-276 |
| ISSN: | 1477-0873 0269-2155 |
| Popis: | Objective: Randomised controlled trials have shown the benefits of Early Supported Discharge (ESD) of stroke survivors. Our aim was to evaluate whether ESD is still beneficial when operating in the complex context of frontline healthcare provision. Design: We conducted a cohort study with quasi experimental design. A total of 293 stroke survivors (transfer independently or with assistance of one, identified rehabilitation goals) within two naturally formed groups were recruited from two acute stroke units: ‘ESD’ n=135 and ‘Non ESD’ n=158 and 84 caregivers. The ‘ESD’ group accessed either of two ESD services operating in Nottinghamshire, UK. The ‘Non ESD’ group experienced standard practices for discharge and onward referral. Outcome measures (primary: Barthel Index) were administered at baseline, 6 weeks, 6 months and 12 months. Results: The ESD group had a significantly shorter length of hospital stay ( P=0.029) and reported significantly higher levels of satisfaction with services received ( PConclusion: The health benefits of ESD are still evident when evidence based models of these services are implemented in practice. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|