Early supported discharge after stroke

Peter Langhorne; Lotta Widen-Holmqvist; Gillian Taylor; Gordon Murray; Torunn Askim; Martin Dennis; Craig Anderson; Erik Bautz-Holter; Paola Dey; Bent Indredavik; Nancy Mayo; Michael Power; Helen Rodgers; Ole Morten Ronning; Anthony Rudd; Nijasri Suwanwela; Charles Wolfe

doi:10.2340/16501977-0042

Early supported discharge after stroke

Peter Langhorne^*, Lotta Widen-Holmqvist, Gillian Taylor (Member of Consortium), Gordon Murray (Member of Consortium), Torunn Askim (Member of Consortium), Martin Dennis (Member of Consortium), Craig Anderson (Member of Consortium), Erik Bautz-Holter (Member of Consortium), Paola Dey (Member of Consortium), Bent Indredavik (Member of Consortium), Nancy Mayo (Member of Consortium), Michael Power (Member of Consortium), Helen Rodgers (Member of Consortium), Ole Morten Ronning (Member of Consortium), Anthony Rudd (Member of Consortium), Nijasri Suwanwela (Member of Consortium), Charles Wolfe (Member of Consortium)

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

Abstract / Description of output

Patients after stroke conventionally receive much of their rehabilitation in hospital. Services have been developed that offer patients an early discharge from hospital with more rehabilitation at home (early supported discharge). This paper sets out a systematic review of all randomized trials of early supported discharge services that included 12 trials (1659 patients). There was a reduced odds of death or dependency equivalent to 5 fewer adverse outcomes (95% confidence interval 1-10) for every 100 patients receiving an early supported discharge service (p = 0.04). Patients receiving early supported discharge services showed an 8 day reduction (p < 0.0001) in the length of hospital stay. The greatest benefits were seen in the trials evaluating a co-ordinated multidisciplinary early supported discharge team and with patients with mild-moderate disability. The experience of a trial from Stockholm is described in order to explore the potential mechanism of action of early supported discharge services. In conclusion, an illustrative case report is set out, indicating a typical patient pathway in an early supported discharge service.

Original language	English
Pages (from-to)	103-108
Number of pages	6
Journal	Journal of Rehabilitation Medicine
Volume	39
Issue number	2
DOIs	https://doi.org/10.2340/16501977-0042
Publication status	Published - Mar 2007

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title = "Early supported discharge after stroke",

abstract = "Patients after stroke conventionally receive much of their rehabilitation in hospital. Services have been developed that offer patients an early discharge from hospital with more rehabilitation at home (early supported discharge). This paper sets out a systematic review of all randomized trials of early supported discharge services that included 12 trials (1659 patients). There was a reduced odds of death or dependency equivalent to 5 fewer adverse outcomes (95% confidence interval 1-10) for every 100 patients receiving an early supported discharge service (p = 0.04). Patients receiving early supported discharge services showed an 8 day reduction (p < 0.0001) in the length of hospital stay. The greatest benefits were seen in the trials evaluating a co-ordinated multidisciplinary early supported discharge team and with patients with mild-moderate disability. The experience of a trial from Stockholm is described in order to explore the potential mechanism of action of early supported discharge services. In conclusion, an illustrative case report is set out, indicating a typical patient pathway in an early supported discharge service.",

author = "Peter Langhorne and Lotta Widen-Holmqvist and Gillian Taylor and Gordon Murray and Torunn Askim and Martin Dennis and Craig Anderson and Erik Bautz-Holter and Paola Dey and Bent Indredavik and Nancy Mayo and Michael Power and Helen Rodgers and Ronning, {Ole Morten} and Anthony Rudd and Nijasri Suwanwela and Charles Wolfe",

year = "2007",

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doi = "10.2340/16501977-0042",

language = "English",

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pages = "103--108",

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T1 - Early supported discharge after stroke

AU - Langhorne, Peter

AU - Widen-Holmqvist, Lotta

A2 - Taylor, Gillian

A2 - Murray, Gordon

A2 - Askim, Torunn

A2 - Dennis, Martin

A2 - Anderson, Craig

A2 - Bautz-Holter, Erik

A2 - Dey, Paola

A2 - Indredavik, Bent

A2 - Mayo, Nancy

A2 - Power, Michael

A2 - Rodgers, Helen

A2 - Ronning, Ole Morten

A2 - Rudd, Anthony

A2 - Suwanwela, Nijasri

A2 - Wolfe, Charles

PY - 2007/3

Y1 - 2007/3

N2 - Patients after stroke conventionally receive much of their rehabilitation in hospital. Services have been developed that offer patients an early discharge from hospital with more rehabilitation at home (early supported discharge). This paper sets out a systematic review of all randomized trials of early supported discharge services that included 12 trials (1659 patients). There was a reduced odds of death or dependency equivalent to 5 fewer adverse outcomes (95% confidence interval 1-10) for every 100 patients receiving an early supported discharge service (p = 0.04). Patients receiving early supported discharge services showed an 8 day reduction (p < 0.0001) in the length of hospital stay. The greatest benefits were seen in the trials evaluating a co-ordinated multidisciplinary early supported discharge team and with patients with mild-moderate disability. The experience of a trial from Stockholm is described in order to explore the potential mechanism of action of early supported discharge services. In conclusion, an illustrative case report is set out, indicating a typical patient pathway in an early supported discharge service.

AB - Patients after stroke conventionally receive much of their rehabilitation in hospital. Services have been developed that offer patients an early discharge from hospital with more rehabilitation at home (early supported discharge). This paper sets out a systematic review of all randomized trials of early supported discharge services that included 12 trials (1659 patients). There was a reduced odds of death or dependency equivalent to 5 fewer adverse outcomes (95% confidence interval 1-10) for every 100 patients receiving an early supported discharge service (p = 0.04). Patients receiving early supported discharge services showed an 8 day reduction (p < 0.0001) in the length of hospital stay. The greatest benefits were seen in the trials evaluating a co-ordinated multidisciplinary early supported discharge team and with patients with mild-moderate disability. The experience of a trial from Stockholm is described in order to explore the potential mechanism of action of early supported discharge services. In conclusion, an illustrative case report is set out, indicating a typical patient pathway in an early supported discharge service.

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DO - 10.2340/16501977-0042

M3 - Review article

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AN - SCOPUS:33947729559

SN - 1650-1977

VL - 39

SP - 103

EP - 108

JO - Journal of Rehabilitation Medicine

JF - Journal of Rehabilitation Medicine

IS - 2

ER -

Early supported discharge after stroke

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