Implementing early supported discharge in stroke care

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...

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

Stroke Unit Care Combined With Early Supported Discharge Improves 5-Year Outcome

Background and Purpose—Early supported discharge (ESD) seems to be a promising alternative to conventional follow-up care after acute stroke. We have previously shown that stroke unit care combined with ESD has beneficial effects on functional outcome and the use of resources for up to 1 year. The aim of this trial was to evaluate outcome after 5 years. Methods—We performed a randomized control...

Stroke unit care combined with early supported discharge improves 5-year outcome: a randomized controlled trial.

BACKGROUND AND PURPOSE Early supported discharge (ESD) seems to be a promising alternative to conventional follow-up care after acute stroke. We have previously shown that stroke unit care combined with ESD has beneficial effects on functional outcome and the use of resources for up to 1 year. The aim of this trial was to evaluate outcome after 5 years. METHODS We performed a randomized contr...