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Early home-supported discharge for patients with stroke in Portugal: a randomised controlled trial
| Content Provider | SAGE Publishing |
|---|---|
| Author | Santana, Silvina Rente, José Neves, Conceição Redondo, Patrícia Szczygiel, Nina Larsen, Torben Jepsen, Birgitte Langhorne, Peter |
| Copyright Year | 2016 |
| Abstract | Objective:To evaluate an early home-supported discharge service for stroke patients.Design:We carried out a prospective, randomised, open-label, blinded-endpoint trial (allocation ratio of 1:1) with patients assigned to either an early home-supported discharge service or usual care.Setting:The study was undertaken in Aveiro, Portugal, between April 2009 and April 2013.Subjects:We included stroke patients aged 25–85 years admitted to the stroke unit with an initial Functional Independence Measure of up to 100, who gave informed consent.Interventions:Patients in the early home-supported discharge group began their rehabilitation intervention in the stroke unit and the early home-supported discharge team worked with them at home for a maximum of one month. Patients in the control group received usual services.Main measures:The primary outcome measure was the Functional Independence Measure at six months after stroke.Results:We randomised 190 patients of whom 34 were lost to follow-up. There were no significant differences (p > 0.5) in the average scores of Functional Independence Measure between the early home-supported discharge (69 ±22; mean ±SD) and the control groups (71 ±17) measured at baseline; and between the early home-supported discharge (107 ±20) and the control groups (107 ±25) measured at six months. The number of individuals with a low Functional Independence Measure score (<60) in the early home-supported discharge group compared with the control group was higher at admission (34/95 vs. 26/95) and lower at follow-up (2/74 vs. 5/78).Conclusions:It was feasible to implement early home-supported discharge procedures in a Southern European setting, but we have not shown convincing differences in disability at six months. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/0269215515627282?download=true |
| Starting Page | 197 |
| Ending Page | 206 |
| Page Count | 10 |
| ISSN | 02692155 |
| Issue Number | 2 |
| Volume Number | 31 |
| Journal | Clinical Rehabilitation (CRE) |
| e-ISSN | 14770873 |
| DOI | 10.1177/0269215515627282 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2016-02-02 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2016 |
| Subject Keyword | Stroke care continuity early home-supported discharge home rehabilitation randomised controlled trial clinical effectiveness Functional Independence Measure Portugal |
| Content Type | Text |
| Resource Type | Article |
| Subject | Rehabilitation Physical Therapy, Sports Therapy and Rehabilitation |
