Authors
Peter Langhorne, Gillian Taylor, Gordon Murray, Martin Dennis, Craig Anderson, Erik Bautz-Holter, Paola Dey, Bent Indredavik, Nancy Mayo, Michael Power, Helen Rodgers, Ole Morten Ronning, Anthony Rudd, Nijasri Suwanwela, Lotta Widen-Holmqvist, Charles Wolfe
Publication date
2005/2/5
Journal
The Lancet
Volume
365
Issue
9458
Pages
501-506
Publisher
Elsevier
Description
Background
Stroke patients conventionally undergo a substantial part of their rehabilitation in hospital. Services have been developed that offer patients early discharge from hospital with rehabilitation at home (early supported discharge [ESD]). We have assessed the effects and costs of such services.
Methods
We did a meta-analysis of data from individual patients who took part in randomised trials that recruited patients with stroke in hospital to receive either conventional care or any ESD service intervention that provided rehabilitation and support in a community setting with the aim of shortening the duration of hospital care. The primary outcome was death or dependency at the end of scheduled follow-up.
Findings
Outcome data were available for 11 trials (1597 patients). ESD services were mostly provided by specialist multidisciplinary teams to a selected group (median 41%) of stroke patients admitted to …
Total citations
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Scholar articles
P Langhorne, G Taylor, G Murray, M Dennis… - The Lancet, 2005