BACKGROUND: Early supported discharge (ESD) with continued rehabilitation at home has shown a beneficial effect on extended activities of daily living 5 years after stroke. The long-term effect of ESD on resource use has not been explored. METHODS: At 5 years, 54 patients with mild to moderate disability, enrolled in a randomized controlled trial of ESD, were followed up. Data were collected from a county register and by interviewing the patient or the patient's spouse. RESULTS: There were differences in mean length of hospitalization, 51 versus 32 days (P = .02). There was no significant difference between the groups in regard to total outpatient rehabilitation, ESD visits included, but there was a difference in where the services were obtained. The ESD group had more rehabilitation at home (ESD service) and the control group had more outpatient rehabilitation (P = .04), including physiotherapy in primary care (P = .05). There were no other differences. CONCLUSION: We conclude that, 5 years after stroke, our ESD service was favorable with regard to resource use.
RCT Entities:
BACKGROUND: Early supported discharge (ESD) with continued rehabilitation at home has shown a beneficial effect on extended activities of daily living 5 years after stroke. The long-term effect of ESD on resource use has not been explored. METHODS: At 5 years, 54 patients with mild to moderate disability, enrolled in a randomized controlled trial of ESD, were followed up. Data were collected from a county register and by interviewing the patient or the patient's spouse. RESULTS: There were differences in mean length of hospitalization, 51 versus 32 days (P = .02). There was no significant difference between the groups in regard to total outpatient rehabilitation, ESD visits included, but there was a difference in where the services were obtained. The ESD group had more rehabilitation at home (ESD service) and the control group had more outpatient rehabilitation (P = .04), including physiotherapy in primary care (P = .05). There were no other differences. CONCLUSION: We conclude that, 5 years after stroke, our ESD service was favorable with regard to resource use.
Authors: Cecilie Røe; Erik Bautz-Holter; Nada Andelic; Helene Lundgaard Søberg; Boya Nugraha; Christoph Gutenbrunner; Andrea Boekel; Marit Kirkevold; Grace Engen; Juan Lu Journal: Arch Rehabil Res Clin Transl Date: 2022-04-13
Authors: Katharina S Sunnerhagen; Anna Danielsson; Lena Rafsten; Ann Björkdahl; Åsa B Axelsson; Åsa Nordin; Cathrine A Petersson; Åsa Lundgren-Nilsson; Karin Fröjd Journal: BMC Neurol Date: 2013-06-24 Impact factor: 2.474
Authors: Ian D Cameron; Suzanne M Dyer; Claire E Panagoda; Geoffrey R Murray; Keith D Hill; Robert G Cumming; Ngaire Kerse Journal: Cochrane Database Syst Rev Date: 2018-09-07
Authors: Geert S A F Verheyden; Vivian Weerdesteyn; Ruth M Pickering; Dorit Kunkel; Sheila Lennon; Alexander C H Geurts; Ann Ashburn Journal: Cochrane Database Syst Rev Date: 2013-05-31
Authors: Ingrid Lekander; Carl Willers; Elisabeth Ekstrand; Mia von Euler; Birgitta Fagervall-Yttling; Lena Henricson; Konstantinos Kostulas; Mikael Lilja; Katharina S Sunnerhagen; Jörg Teichert; Hélène Pessah-Rasmussen Journal: BMJ Open Date: 2017-09-07 Impact factor: 2.692