Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Can readmission after stroke be prevented? Results of a randomized clinical study: a postdischarge follow-up service for stroke survivors

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Early Life Body Size in Relation to First Intracerebral or Subarachnoid Hemorrhage

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Metric-Based Virtual Reality Simulation: A Paradigm Shift in Training for Mechanical Thrombectomy in Acute Stroke

    Research output: Contribution to journalReviewResearchpeer-review

  3. Risk of Ischemic and Hemorrhagic Strokes in Occult and Manifest Cancers

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Alcohol Intake and Risk of Ischemic and Haemorrhagic Stroke: Results from a Mendelian Randomisation Study

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Childhood Stature and Growth in Relation to First Ischemic Stroke or Intracerebral Hemorrhage

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Sarcopenia and osteoporosis in older people: a systematic review and meta-analysis

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Prevalence of sarcopenia in a Danish geriatric out-patient population

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Long-Term Return to Work After Acquired Brain Injury in Young Danish Adults: A Nation-Wide Registry-Based Cohort Study

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Cognitive Assessment at Bedside for iPAD: A preliminary Validation of a Novel Cognitive test for Stroke Patients

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Incidence and mortality of acquired brain injury in young Danish adults between 1994 and 2013: a nationwide study

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

BACKGROUND AND PURPOSE: About 50% of stroke survivors are discharged to their homes with lasting disability. Knowledge, however, of the importance of follow-up services that targets these patients is sparse. The purpose of the present study was to evaluate 2 models of follow-up intervention after discharge. The study hypothesis was that intervention could reduce readmission rates and institutionalization and prevent functional decline. We report the results regarding readmission.

METHODS: This randomized study included 155 stroke patients with persistent impairment and disability who, after the completion of inpatient rehabilitation, were discharged to their homes. The patients were randomized to 1 of 2 follow-up interventions provided in addition to standard care or to standard aftercare. Fifty-four received follow-up home visits by a physician (INT1-HVP), 53 were provided instructions by a physiotherapist in their home (INT2-PI), and 48 received standard aftercare only (controls). Baseline characteristics for the 3 groups were comparable. Six months after discharge, data were obtained on readmission and institutionalization.

RESULTS: The readmission rates within 6 months after discharge were significantly lower in the intervention groups than in the control group (INT1-HVP 26%, INT2-PI 34%, controls 44%; P=0.028). Multivariate analysis of readmission risk showed a significant favorable effect of intervention (INT1-HVP or INT2-PI) in interaction with length of hospital stay (P=0.0332), indicating that the effect of intervention was strongest for patients with a prolonged inpatient rehabilitation.

CONCLUSIONS: Readmission is common among disabled stroke survivors. Follow-up intervention after discharge seems to be a way of preventing readmission, especially for patients with long inpatient rehabilitation.

Original languageEnglish
JournalStroke
Volume31
Issue number5
Pages (from-to)1038-45
Number of pages8
ISSN0039-2499
Publication statusPublished - May 2000

    Research areas

  • Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Male, Middle Aged, Patient Readmission, Stroke/physiopathology, Stroke Rehabilitation, Survival Analysis

ID: 53972139