Stroke unit at home : A prospective observational implementation study for early supported discharge from the hospital
| Autor: | Per Wester, Anna Bråndal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Service (business)
home rehabilitation medicine.medical_specialty Annan medicin och hälsovetenskap business.industry Alternative medicine early supported discharge Omics medicine.disease law.invention Unit (housing) Home rehabilitation World Wide Web Stroke Randomized controlled trial law Other Medical Sciences medicine Observational study Medical emergency business implementation |
| Popis: | Background: Randomized controlled trials on early supported discharge (ESD) service in stroke have demonstrated favorable results. However, there are difficulties in transferring research results regarding ESD to the clinic. The aim of this study is to describe the method, content, implementation and outcome of ESD in its natural habit for stroke patients. Methods: A prospective observational implementation study of 153 consecutive stroke patients with mild to moderate severity with ESD and rehabilitation by a specially trained interdisciplinary team in the patient’s home, directly after discharge from the stroke unit. The interdisciplinary team in the ESD team is similar to the work at the stroke unit. Number of patients/year, clinical and functional health status, patient satisfaction, accidental falls/other injuries and resources were evaluated. Results: The number of patients/year in the ESD service has gradually increased from 2005 to 2009.The stroke patients subjected to Umea ESD service in January 2008 until May 2009 had a mean of 8.6 days of in-hospital care. The ESD service included 11 visits and 18 h per patient during 23 days (mean values). Compared with time of enrollment, patients exhibited reduced functional dependency (ADL- stairs 3 (1 - 5) vs. 1 (0–3), median, Q1–Q3, p |
| Databáze: | OpenAIRE |
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