Value and efficacy of early supported discharge from stroke units

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...

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

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...

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...

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...