Bridging the gap: the effectiveness of teaming a stroke coordinator with patient's personal physician on the outcome of stroke.
Age Ageing
; 37(1): 32-8, 2008 Jan.
Article
em En
| MEDLINE
| ID: mdl-18006510
ABSTRACT
OBJECTIVES:
to test the hypothesis as to whether persons newly discharged into the community following an acute stroke and assigned a stroke case manager would experience, compared to usual post-hospital care, better health-related quality of life (HRQL), fewer emergency room visits and less non-elective hospitalisations.DESIGN:
a stratified, balanced, evaluator-blinded, randomised clinical trial.SETTING:
five university-affiliated acute-care hospitals in Montreal, Quebec, Canada.PARTICIPANTS:
persons (n = 190) returning home directly from the acute-care hospital following a first or recurrent stroke with a need for health care supervision post-discharge because of low function, co-morbidity, or isolation. INTERVENTION for 6 weeks following hospital discharge a nurse stroke care manager maintained contact with patients through home visits and telephone calls designed to coordinate care with the person's personal physician and link the stroke survivor into community-based stroke services. MEASUREMENTS the primary outcome was the Physical Component Summary (PCS) of the Short-Form (SF)-36 survey. A secondary outcome was utilisation of health services. Also measured was the impact of stroke on functioning. Measurements were made at hospital discharge (baseline), following the 6-week intervention and at 6-months post-stroke.RESULTS:
the average age of the participants was 70 years. Discharge was achieved on average 12 days post-stroke and most participants had had a stroke of moderate severity. There were no differences between groups on the primary outcome measure, health services utilisation, or any of the secondary outcome measures.CONCLUSION:
for this population, there was no evidence that this type of passive case management inferred any added benefit in terms of improvement in health-related quality of life or reduction in health services utilisation and stroke impact, than usual post-discharge management.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Equipe de Assistência ao Paciente
/
Administração de Caso
/
Acidente Vascular Cerebral
/
Medicina de Família e Comunidade
/
Relações Interprofissionais
Tipo de estudo:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Age Ageing
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
Canadá