Extended stroke unit service with early supported discharge

Completed

Phase N/A Results

Trial Description

To evaluate the effects of an extended stroke unit service (ESUS), with early supported discharge, cooperation with the primary healthcare system, and more emphasis on rehabilitation at home as essential elements.

Interventions

Trial Design

Randomized, controlled trial of 320 patients.

Patient Involvement

Patients were randomly allocated to the ESUS or the ordinary stroke service (OSUS). ESUS consisted of visits at home and meetings to plan ahead for discharge, close follow-up and organization of rehabilitation by mobile team for 1 month after discharge, outpatient clinic care for the following month and an informational meeting at 3 months post-discharge.

Outcomes

Type Measure Time Frame Safety Issue
Primary Proportion of patients who were independent as assessed by the modified Rankin Scale (RS) (RS </=2=global independence) and independent in activities of daily living (ADL) as assessed by Barthel Index (BI) (BI >/=95=independent in ADL) after 26 weeks.
Secondary RS and BI scores after 6 weeks; the proportion of patients at home, in institutions, and deceased after 6 and 26 weeks; and the length of stay in institutions.

Sponsors

Norwegian Department of Health and the Stroke Units Fund of Stroke Research, University Hospital of Trondheim.