Early supported discharge (ESD) services for stroke patients

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...

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...

Implementing evidence-based stroke Early Supported Discharge services: a qualitative study of challenges, facilitators and impact.

OBJECTIVES To explore the perspectives of healthcare professionals and commissioners working with a stroke Early Supported Discharge service in relation to: (1) the factors that facilitate or impede the implementation of the service, and (2) the impact of the service. DESIGN Cross-sectional qualitative study using semi-structured interviews. Data were analysed by two researchers using a thema...

Early supported discharge after stroke in Bergen (ESD Stroke Bergen): a randomized controlled trial comparing rehabilitation in a day unit or in the patients' homes with conventional treatment.

RATIONALE As a result of demographic changes with a presumed rapidly increasing number of older people during the coming decades, a strong increase in the incidence and prevalence of stroke should be expected. Early supported discharge implies that the patients are discharged to their homes as soon as feasible and that rehabilitative treatment is offered after the discharge, with the patients b...

Review: early supported discharge reduces death or dependence after stroke.