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Early supported discharge after stroke and continued rehabilitation at home coordinated and delivered by a stroke unit in an urban area.

Pessah-Rasmussen, Hélène LU and Wendel, Kerstin LU (2009) In Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine 41(6). p.482-488
Abstract
OBJECTIVE: To explore the characteristics and outcome of patients after stroke admitted to early supported discharge (ESD) services, and to investigate changes over time. STUDY POPULATIONS: Patients admitted between June 1997 and September 1998 and participating in a follow-up study (n = 87) and all patients admitted in 2005-06 (n = 226). Background populations: All stroke cases in Malmö alive 3 months after stroke in June 1997 to September 1998 (n = 514) and 2005-06 (n = 1353). RESULTS: There were no differences in age, gender, proportion living alone or Katz Index distribution between the 2 study populations. The Katz Index improved between start and end of ESD (p < 0.001). Patients admitted to ESD services did not differ from the... (More)
OBJECTIVE: To explore the characteristics and outcome of patients after stroke admitted to early supported discharge (ESD) services, and to investigate changes over time. STUDY POPULATIONS: Patients admitted between June 1997 and September 1998 and participating in a follow-up study (n = 87) and all patients admitted in 2005-06 (n = 226). Background populations: All stroke cases in Malmö alive 3 months after stroke in June 1997 to September 1998 (n = 514) and 2005-06 (n = 1353). RESULTS: There were no differences in age, gender, proportion living alone or Katz Index distribution between the 2 study populations. The Katz Index improved between start and end of ESD (p < 0.001). Patients admitted to ESD services did not differ from the background populations with regard to gender or age, but were less often living alone in 2005-06 (p = 0.002). The mean duration of the ESD input was shorter in 2005-06 (p < 0.001). In 1997-98 the participants were satisfied with most of the dimensions of care; the proportion of patients having activity limitations decreased during the first 6 months after stroke. CONCLUSION: The use of ESD was feasible in the routine setting of an urban stroke unit. The input of the ESD services per patient decreased over time, perhaps indicating an improvement in use of healthcare resources. (Less)
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author
organization
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type
Contribution to journal
publication status
published
subject
in
Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine
volume
41
issue
6
pages
482 - 488
publisher
Taylor & Francis
external identifiers
  • wos:000266490300013
  • pmid:19479162
  • scopus:66349137680
ISSN
1651-2081
DOI
10.2340/16501977-0364
language
English
LU publication?
yes
id
48809aad-3beb-4aaa-8407-8ff19b1fb3b7 (old id 1411892)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19479162?dopt=Abstract
date added to LUP
2009-06-03 15:03:35
date last changed
2017-01-01 07:42:19
@article{48809aad-3beb-4aaa-8407-8ff19b1fb3b7,
  abstract     = {OBJECTIVE: To explore the characteristics and outcome of patients after stroke admitted to early supported discharge (ESD) services, and to investigate changes over time. STUDY POPULATIONS: Patients admitted between June 1997 and September 1998 and participating in a follow-up study (n = 87) and all patients admitted in 2005-06 (n = 226). Background populations: All stroke cases in Malmö alive 3 months after stroke in June 1997 to September 1998 (n = 514) and 2005-06 (n = 1353). RESULTS: There were no differences in age, gender, proportion living alone or Katz Index distribution between the 2 study populations. The Katz Index improved between start and end of ESD (p &lt; 0.001). Patients admitted to ESD services did not differ from the background populations with regard to gender or age, but were less often living alone in 2005-06 (p = 0.002). The mean duration of the ESD input was shorter in 2005-06 (p &lt; 0.001). In 1997-98 the participants were satisfied with most of the dimensions of care; the proportion of patients having activity limitations decreased during the first 6 months after stroke. CONCLUSION: The use of ESD was feasible in the routine setting of an urban stroke unit. The input of the ESD services per patient decreased over time, perhaps indicating an improvement in use of healthcare resources.},
  author       = {Pessah-Rasmussen, Hélène and Wendel, Kerstin},
  issn         = {1651-2081},
  language     = {eng},
  number       = {6},
  pages        = {482--488},
  publisher    = {Taylor & Francis},
  series       = {Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine},
  title        = {Early supported discharge after stroke and continued rehabilitation at home coordinated and delivered by a stroke unit in an urban area.},
  url          = {http://dx.doi.org/10.2340/16501977-0364},
  volume       = {41},
  year         = {2009},
}