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Early discharge to therapy-based rehabilitation at home in patients with stroke. A systematic review

Winkel, Annette; Ekdahl, Charlotte LU and Gard, Gunvor LU (2007) In Physical Therapy Reviews 13(3). p.167-187
Abstract
Early discharge and home rehabilitation (EDHR) for stroke patients seems logical as an alternative to rehabilitation in stroke units, as these patients often show impaired ability to perform activities of daily living. The objective of this review is to present the effects of EDHR for stroke patients on health, quality of life and costs, and to describe the physiotherapy provided. Seventeen randomised controlled trials were included, assessed with the PEDro scale and rated using Sackett's rules of scientific evidence. The results showed that EDHR can reduce the length of time spent in hospital. It might improve basic activities of daily living, but is more likely to improve patients' instrumental activities of daily living and quality of... (More)
Early discharge and home rehabilitation (EDHR) for stroke patients seems logical as an alternative to rehabilitation in stroke units, as these patients often show impaired ability to perform activities of daily living. The objective of this review is to present the effects of EDHR for stroke patients on health, quality of life and costs, and to describe the physiotherapy provided. Seventeen randomised controlled trials were included, assessed with the PEDro scale and rated using Sackett's rules of scientific evidence. The results showed that EDHR can reduce the length of time spent in hospital. It might improve basic activities of daily living, but is more likely to improve patients' instrumental activities of daily living and quality of life. The context is a core issue for the physiotherapy intervention. Early discharge and home rehabilitation seems to be cost-effective if rehabilitation at home is provided by a multidisciplinary team from a hospital. It is important to consider patients' coping capacities and possible strain on caregivers as contributing factors to the efficacy of EDHR. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
home rehabilitation, physiotherapy, stroke outcome, activities of daily living, quality of life
in
Physical Therapy Reviews
volume
13
issue
3
pages
167 - 187
publisher
Maney Publishing
ISSN
1743-288X
DOI
10.1179/174328808X252091
language
English
LU publication?
yes
id
444b92a5-359d-4a32-98e5-0a21d1221ddc (old id 1140082)
date added to LUP
2008-08-21 13:04:01
date last changed
2016-04-15 19:31:32
@article{444b92a5-359d-4a32-98e5-0a21d1221ddc,
  abstract     = {Early discharge and home rehabilitation (EDHR) for stroke patients seems logical as an alternative to rehabilitation in stroke units, as these patients often show impaired ability to perform activities of daily living. The objective of this review is to present the effects of EDHR for stroke patients on health, quality of life and costs, and to describe the physiotherapy provided. Seventeen randomised controlled trials were included, assessed with the PEDro scale and rated using Sackett's rules of scientific evidence. The results showed that EDHR can reduce the length of time spent in hospital. It might improve basic activities of daily living, but is more likely to improve patients' instrumental activities of daily living and quality of life. The context is a core issue for the physiotherapy intervention. Early discharge and home rehabilitation seems to be cost-effective if rehabilitation at home is provided by a multidisciplinary team from a hospital. It is important to consider patients' coping capacities and possible strain on caregivers as contributing factors to the efficacy of EDHR.},
  author       = {Winkel, Annette and Ekdahl, Charlotte and Gard, Gunvor},
  issn         = {1743-288X},
  keyword      = {home rehabilitation,physiotherapy,stroke outcome,activities of daily living,quality of life},
  language     = {eng},
  number       = {3},
  pages        = {167--187},
  publisher    = {Maney Publishing},
  series       = {Physical Therapy Reviews},
  title        = {Early discharge to therapy-based rehabilitation at home in patients with stroke. A systematic review},
  url          = {http://dx.doi.org/10.1179/174328808X252091},
  volume       = {13},
  year         = {2007},
}