CONTROLLED TRIAL OF A HOME-CARE SERVICE FOR ACUTE STROKE PATIENTS
The LancetPublished 1 February 1985
Derick T Wade, CliveE. Skilbeck, R Langton-Hewer, D Bainton, C J Burns‐Cox
Citations117
SJR quartileQ1
SJR score12.11
SNIP22.72
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TL;DR
Providing a new service does not necessarily alter clinical decisions in the short term, and care should be taken before expanding domiciliary services to reduce hospital use.
Abstract
In a controlled trial of a home-care service available for the first 6 months after acute stroke, 440 patients received the new service and 417 patients were in the control group. The trial group used more hospital bed days, had a slightly higher admission rate, and did not show better emotional adjustment to stroke than the control group. There was no difference between the 2 groups in stress on relatives. Functional recovery was equal in the 2 groups. A quarter of patients managed at home in each group were severely disabled. Providing a new service does not necessarily alter clinical decisions in the short term, and care should be taken before expanding domiciliary services to reduce hospital use.
Keywords
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