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Follow-up services for stroke survivors after hospital discharge--a randomized control study

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@article{f6fca120ce2346a584b5cae8c0e401f6,
title = "Follow-up services for stroke survivors after hospital discharge--a randomized control study",
abstract = "OBJECTIVE: To evaluate whether follow-up services for stroke survivors could improve functional outcome and reduce readmission rate. In this paper results of functional outcome are reported.DESIGN: Randomized controlled trial allocating patients to one of three different types of aftercare: (1) follow-up home visits by a physician, (2) physiotherapist instruction in the patient's home, or (3) standard aftercare.SUBJECTS: Stroke patients with persisting impairment and disability who, after completing inpatient rehabilitation, were discharged to their homes.OUTCOME MEASURES: Six months after discharge, functional outcome was assessed with Functional Quality of Movement, Barthel Index, Frenchay Activity Index and Index of Extended Activites of Daily Living.RESULTS: One-hundred and fifty-five stroke patients were included in the study. Fifty-four received follow-up home visits by a physician, 53 were given instructions by a physiotherapist in their home and 48 received standard aftercare only. No statistically significant differences in functional outcome six months after discharge were demonstrated between the three groups. However, all measurements showed a tendency towards higher scores indicating better function in both interventions groups compared with the control group.CONCLUSION: Follow-up services after stroke may be a way of improving functional outcome. The results of the present study should be evaluated in future trials. More research in this field is needed, especially studies of how to support stroke survivors to resume social and leisure activities.",
keywords = "Aftercare, Aged, Aged, 80 and over, Female, Follow-Up Studies, House Calls, Humans, Length of Stay, Male, Middle Aged, Outcome Assessment (Health Care), Patient Discharge, Patient Readmission, Physical Therapy Modalities, Recovery of Function/physiology, Severity of Illness Index, Stroke/physiopathology, Stroke Rehabilitation, Time Factors",
author = "Andersen, {Hanne Elkjaer} and Karen Eriksen and Anne Brown and Kirsten Schultz-Larsen and Forchhammer, {Birgitte Hysse}",
year = "2002",
month = "9",
doi = "10.1191/0269215502cr528oa",
language = "English",
volume = "16",
pages = "593--603",
journal = "Clinical Rehabilitation",
issn = "0269-2155",
publisher = "Sage Science Press (UK)",
number = "6",

}

RIS

TY - JOUR

T1 - Follow-up services for stroke survivors after hospital discharge--a randomized control study

AU - Andersen, Hanne Elkjaer

AU - Eriksen, Karen

AU - Brown, Anne

AU - Schultz-Larsen, Kirsten

AU - Forchhammer, Birgitte Hysse

PY - 2002/9

Y1 - 2002/9

N2 - OBJECTIVE: To evaluate whether follow-up services for stroke survivors could improve functional outcome and reduce readmission rate. In this paper results of functional outcome are reported.DESIGN: Randomized controlled trial allocating patients to one of three different types of aftercare: (1) follow-up home visits by a physician, (2) physiotherapist instruction in the patient's home, or (3) standard aftercare.SUBJECTS: Stroke patients with persisting impairment and disability who, after completing inpatient rehabilitation, were discharged to their homes.OUTCOME MEASURES: Six months after discharge, functional outcome was assessed with Functional Quality of Movement, Barthel Index, Frenchay Activity Index and Index of Extended Activites of Daily Living.RESULTS: One-hundred and fifty-five stroke patients were included in the study. Fifty-four received follow-up home visits by a physician, 53 were given instructions by a physiotherapist in their home and 48 received standard aftercare only. No statistically significant differences in functional outcome six months after discharge were demonstrated between the three groups. However, all measurements showed a tendency towards higher scores indicating better function in both interventions groups compared with the control group.CONCLUSION: Follow-up services after stroke may be a way of improving functional outcome. The results of the present study should be evaluated in future trials. More research in this field is needed, especially studies of how to support stroke survivors to resume social and leisure activities.

AB - OBJECTIVE: To evaluate whether follow-up services for stroke survivors could improve functional outcome and reduce readmission rate. In this paper results of functional outcome are reported.DESIGN: Randomized controlled trial allocating patients to one of three different types of aftercare: (1) follow-up home visits by a physician, (2) physiotherapist instruction in the patient's home, or (3) standard aftercare.SUBJECTS: Stroke patients with persisting impairment and disability who, after completing inpatient rehabilitation, were discharged to their homes.OUTCOME MEASURES: Six months after discharge, functional outcome was assessed with Functional Quality of Movement, Barthel Index, Frenchay Activity Index and Index of Extended Activites of Daily Living.RESULTS: One-hundred and fifty-five stroke patients were included in the study. Fifty-four received follow-up home visits by a physician, 53 were given instructions by a physiotherapist in their home and 48 received standard aftercare only. No statistically significant differences in functional outcome six months after discharge were demonstrated between the three groups. However, all measurements showed a tendency towards higher scores indicating better function in both interventions groups compared with the control group.CONCLUSION: Follow-up services after stroke may be a way of improving functional outcome. The results of the present study should be evaluated in future trials. More research in this field is needed, especially studies of how to support stroke survivors to resume social and leisure activities.

KW - Aftercare

KW - Aged

KW - Aged, 80 and over

KW - Female

KW - Follow-Up Studies

KW - House Calls

KW - Humans

KW - Length of Stay

KW - Male

KW - Middle Aged

KW - Outcome Assessment (Health Care)

KW - Patient Discharge

KW - Patient Readmission

KW - Physical Therapy Modalities

KW - Recovery of Function/physiology

KW - Severity of Illness Index

KW - Stroke/physiopathology

KW - Stroke Rehabilitation

KW - Time Factors

U2 - 10.1191/0269215502cr528oa

DO - 10.1191/0269215502cr528oa

M3 - Journal article

VL - 16

SP - 593

EP - 603

JO - Clinical Rehabilitation

JF - Clinical Rehabilitation

SN - 0269-2155

IS - 6

ER -

ID: 53971910