Clinical outcomes for moderate and severe stroke survivors receiving early supported discharge: A quasi-experimental cohort study

Leach, K, Neale, S, Steinfort, S and Hitch, Danielle 2020, Clinical outcomes for moderate and severe stroke survivors receiving early supported discharge: A quasi-experimental cohort study, British Journal of Occupational Therapy, vol. 83, no. 11, pp. 680-689, doi: 10.1177/0308022620939860.

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Title Clinical outcomes for moderate and severe stroke survivors receiving early supported discharge: A quasi-experimental cohort study
Author(s) Leach, K
Neale, S
Steinfort, S
Hitch, DanielleORCID iD for Hitch, Danielle orcid.org/0000-0003-2798-2246
Journal name British Journal of Occupational Therapy
Volume number 83
Issue number 11
Article ID 0308022620939860
Start page 680
End page 689
Total pages 10
Publisher Sage Publications
Place of publication London, Eng.
Publication date 2020
ISSN 0308-0226
1477-6006
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Rehabilitation
Stroke
early support discharge
function
balance
occupational therapy
FUNCTIONAL INDEPENDENCE MEASURE
BERG BALANCE SCALE
IMPORTANT DIFFERENCE
DETECTABLE CHANGE
BARTHEL INDEX
IMPLEMENTATION
DISABILITY
CONSENSUS
ABILITY
Summary Introduction The aim of this study was to compare outcomes for functional independence, activities of daily living participation and balance achieved by moderate and severe stroke survivors receiving an early supported discharge model of care with those receiving standard treatment. Method A quasi-experimental cohort method was utilised, with a control group of convenience. Forty-one patients ( n = 28 early supported discharge group, n = 13 control group) who were medically stable post stroke, safe for discharge home, able to be treated in the home environment and requiring intensive rehabilitation from at least two disciplines participated. Results There was no significant difference in outcomes between early supported discharge and control groups for functional independence, activities of daily living participation or balance from baseline to 4 weeks, or 4 weeks to 8 weeks. However, patients receiving early supported discharge made further improvements across the study period, while those receiving standard care made limited improvement between 4 weeks and 8 weeks. All minimal clinically important differences on outcome measures were identified between baseline and 4 weeks. Conclusions Moderate and severe stroke survivors can achieve comparable outcomes when receiving early supported discharge or standard treatment. Early supported discharge models of care may also enhance ongoing improvement during the early phases of stroke recovery.
Language eng
DOI 10.1177/0308022620939860
Indigenous content off
Field of Research 1103 Clinical Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30142970

Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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