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

https://doi.org/10.1136/ebn.8.4.118

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    Langhorne P, Taylor G, Murray G, et al. Early supported discharge services for stroke patients: a meta-analysis of individual patients’ data. Lancet 2005;365:501–6.OpenUrlCrossRefPubMedWeb of Science

    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?

    METHODS

    Embedded ImageData 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.

    Embedded ImageStudy 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.

    Embedded ImageOutcomes:

    a composite endpoint of death or dependence (Barthel index <19/20 or Rankin score >2). Secondary outcomes were death; …

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    Footnotes

    • A modified version of this abstract appears in ACP Journal Club.

    • For correspondence: Professor P Langhorne, Academic Section of Geriatric Medicine, Royal Infirmary, Glasgow, UK. P.Langhorneclinmed.gla.ac.uk

    • Sources of funding: Stroke Association and Chest, Heart & Stroke Scotland.