Early home-supported discharge for patients with stroke in Portugal: a randomised controlled trial

Objective: To evaluate an early home-supported discharge service for stroke patients. Design: We carried out a prospective, randomised, open-label, blinded-endpoint trial (allocation ratio of 1:1) with patients assigned to either an early home-supported discharge service or usual care. Setting: The...

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Bibliographic Details
Published in:Clinical rehabilitation 2017-02, Vol.31 (2), p.197-206
Main Authors: Santana, Silvina, Rente, José, Neves, Conceição, Redondo, Patrícia, Szczygiel, Nina, Larsen, Torben, Jepsen, Birgitte, Langhorne, Peter
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adult
Aged
Clinical trials
Continuity of care
Continuity of Patient Care - organization & administration
Control groups
Disability
Discharge
Early intervention
Evaluative Studies
Evidence-based medicine
Home Care Services - organization & administration
Home health care
Humans
Informed consent
Middle Aged
Mobility
Outcome Assessment (Health Care)
Patient admissions
Patient Discharge
Prognosis
Prospective Studies
Recovery of Function
Rehabilitation
Risk Assessment
Severity of Illness Index
Single-Blind Method
Stroke
Stroke - diagnosis
Stroke Rehabilitation - methods
Teams
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Summary:Objective: To evaluate an early home-supported discharge service for stroke patients. Design: We carried out a prospective, randomised, open-label, blinded-endpoint trial (allocation ratio of 1:1) with patients assigned to either an early home-supported discharge service or usual care. Setting: The study was undertaken in Aveiro, Portugal, between April 2009 and April 2013. Subjects: We included stroke patients aged 25–85 years admitted to the stroke unit with an initial Functional Independence Measure of up to 100, who gave informed consent. Interventions: Patients in the early home-supported discharge group began their rehabilitation intervention in the stroke unit and the early home-supported discharge team worked with them at home for a maximum of one month. Patients in the control group received usual services. Main measures: The primary outcome measure was the Functional Independence Measure at six months after stroke. Results: We randomised 190 patients of whom 34 were lost to follow-up. There were no significant differences (p > 0.5) in the average scores of Functional Independence Measure between the early home-supported discharge (69 ±22; mean ±SD) and the control groups (71 ±17) measured at baseline; and between the early home-supported discharge (107 ±20) and the control groups (107 ±25) measured at six months. The number of individuals with a low Functional Independence Measure score (
ISSN:0269-2155
1477-0873
DOI:10.1177/0269215515627282