Evid Based Nurs 8:118 doi:10.1136/ebn.8.4.118
  • Treatment

Review: early supported discharge reduces death or dependence after stroke

 Q In patients admitted to hospital with stroke, does an early supported discharge (ESD) service with rehabilitation at home provide better outcomes than conventional in-hospital care?


GraphicData sources:

the Cochrane Specialised Register of Controlled Trials (to August 2004) was searched and trialists were asked to describe their intervention and control services and to provide individual patient data.

GraphicStudy selection and assessment:

randomised controlled trials (RCTs) that compared an ESD intervention with conventional care in patients admitted to hospital with stroke. The aim of ESD was to accelerate discharge from hospital and provide rehabilitation and regular assistance in a community setting. Quality assessment of individual trials was based on allocation concealment and blinding of outcome assessors.


a composite endpoint of death or dependence (Barthel index <19/20 or Rankin score >2). Secondary outcomes were death; death or need for long term institutional care; change in activities of daily living (ADL), subjective health status, or mood or depression; patient satisfaction; caregiver outcomes (subjective …

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article