Domiciliary and hospital-based rehabilitation for stroke patients after discharge from hospital "DOMINO"


Phase N/A Results


Overall, there was no difference between the two groups in terms of Extended ADL scores at 3 or 6 months, but in the Stroke Unit stratum, patients treated by the domiciliary team had higher household (p=0.02) and leisure activity (p =0.04) scores at 6 months compared to those receiving routine care. There were no differences in the outcomes of the caregivers of the patients allocated to the domiciliary or the hospital-based service. During follow-up of patients between 6 months and 1 year after discharge, the benefits of domiciliary rehabilitation in the SU group were lost, largely because the patients who had been treated in outpatient departments continued to improve. Between 6 months and 1 year, the numbers of patients from the Health Care of the Elderly stratum in the two treatment groups who died or were institutionalized were similar, but the advantage of day hospital attendance was still evident at 1 year.