Cost analysis of early supported hospital discharge for stroke

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چکیده

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Model of hospital-supported discharge after stroke.

BACKGROUND AND PURPOSE Readmission rate within 6 months after a stroke is 40% to 50%. The purpose of the project was to evaluate whether an interdisciplinary stroke team could reduce length of hospital stay, readmission rate, increase patient satisfaction and reduce dependency of help. METHODS One hundred and ninety-eight patients with acute stroke were randomized into 103 patients whose disc...

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A consensus on stroke: early supported discharge.

BACKGROUND AND PURPOSE Research evidence supporting Early Supported Discharge (ESD) services has been summarized in a Cochrane Systematic Review. Trials have shown that ESD can reduce long-term dependency and admission to institutional care and reduce the length of hospital stay. No adverse impact on the mood or well-being of patients or carers has been reported. With the implementation of many...

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Stroke Unit at Home: A Prospective Observational Implementation Study for Early Supported Discharge from the Hospital

It has been well established that the stroke patient’s needs are best met in an organized stroke unit [3].Stroke unit care is effective in reducing death and disability, as well as improvingpost-stroke outcomes [3]. Furthermore, an alternative service has been reported where stroke patients in hospitals are offered early supported discharge (ESD) with rehabilitation at home [4,5]. The ESD is co...

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Cost-effectiveness of stroke unit care followed by early supported discharge.

BACKGROUND AND PURPOSE Stroke places a significant burden on the economy in England and Wales with the overall societal costs estimated at pound7 billion per annum. There is evidence that both stroke units (SUs) and early supported discharge (ESD) are effective in treating patients with stroke. This study assesses the cost-effectiveness of the combination of these 2 strategies and compares it w...

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Early supported discharge services for stroke patients: a meta-analysis of individual patients' data.

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 randomise...

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ژورنال

عنوان ژورنال: Age and Ageing

سال: 1998

ISSN: 0002-0729,1468-2834

DOI: 10.1093/ageing/27.3.345