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

Hanne Elkjaer Andersen; Karen Eriksen; Anne Brown; Kirsten Schultz-Larsen; Birgitte Hysse Forchhammer

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

Hanne Elkjaer Andersen, Karen Eriksen, Anne Brown, Kirsten Schultz-Larsen, Birgitte Hysse Forchhammer

Institut for Folkesundhedsvidenskab

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

38 Citationer (Scopus)

Abstract

Udgivelsesdato: 2002-Sep

Originalsprog	Engelsk
Tidsskrift	Clinical Rehabilitation
Vol/bind	16
Udgave nummer	6
Sider (fra-til)	593-603
Antal sider	10
ISSN	0269-2155
Status	Udgivet - 2002

Bibliografisk note

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; Severity of Illness Index; Stroke; Time Factors

Citationsformater

@article{50387d30c2c811dd8ca2000ea68e967b,

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.",

author = "Andersen, {Hanne Elkjaer} and Karen Eriksen and Anne Brown and Kirsten Schultz-Larsen and Forchhammer, {Birgitte Hysse}",

note = "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; Severity of Illness Index; Stroke; Time Factors",

year = "2002",

language = "English",

volume = "16",

pages = "593--603",

journal = "Clinical Rehabilitation",

issn = "0269-2155",

publisher = "SAGE Publications",

number = "6",

}

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

N1 - 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; Severity of Illness Index; Stroke; Time Factors

PY - 2002

Y1 - 2002

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.

M3 - Journal article

C2 - 12392333

SN - 0269-2155

VL - 16

SP - 593

EP - 603

JO - Clinical Rehabilitation

JF - Clinical Rehabilitation

IS - 6

ER -