Randomised controlled trial to evaluate early discharge scheme for patients with stroke

摘要: Abstract Objective: To assess the clinical effectiveness of an early discharge policy for patients with stroke by using a community based rehabilitation team. Design: Randomised controlled trial to compare conventional care policy. Setting: Two teaching hospitals in inner London. Subjects: 331 medically stable (mean age 71) who lived alone and were able transfer independently or resident carer help. Interventions: 167 received specialist up 3 months after randomisation. 164 continued hospital care. Main outcome measures: Barthel score at 12 months. Secondary outcomes measured impairment motoricity index, minimental state examination, Frenchay aphasia screening test; disability Rivermead activity daily living scales, anxiety depression scale, 5 m walk; handicap Nottingham health profile; stress caregiver strain index patient satisfaction. The main process measure was length stay Results: One year randomisation no significant differences found apart from increased satisfaction therapy group. Length group significantly reduced (12 v 18 days; P Conclusions: Early is feasible, as clinically effective care, acceptable patients. Considerable reductions use beds are achievable. Key messages home feasible without increase readmission rates carers This randomised shows this method be when assessed range measures impairment, disability, handicap, stress, 1 Significant bed usage can achieved provision team services