Effectiveness of Stroke Early Supported Discharge

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...

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...

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

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...

Rehabilitation after stroke with focus on early supported discharge and post-stroke fatigue

Background Early Supported Discharge (ESD) with rehabilitation at home can improve patient outcome and quality of care for persons with mild to moderate stroke. Following stroke, fatigue is a common consequence that often becomes more evident when the patient returns home. Currently, there is insufficient evidence about how to estimate and treat post-stroke fatigue. The overall aim of this thes...