To evaluate the effectiveness of Integrated Care Pathway (ICP-based) management in reducing the length of hospital stay without affecting functional outcome in stroke patients undergoing specialist rehabilitation.
- Stroke Units Behavioral
Prospective, open, randomized trial of 152 patients.
Patients were randomized to receive ICP management or conventional care before transfer to the stroke rehabilitation unit when they were medically and neurologically stable. ICP care was organized, goal-defined, and time-managed whereas conventional care was multi-disciplinary and individualized.
|Type||Measure||Time Frame||Safety Issue|
|Primary||Hospital length of stay.|
|Secondary||Barthel Activities of Daily Living Index at 1, 4, 12 and 26 weeks; Hospital Anxiety and Depression scale at 4, 12, and 26 weeks; Rankin score and EuroQol Quality of Life Score at 12 and 26 weeks; total therapy time for physiotherapy and occupational therapy measured daily; mortality, cause of death, discharge destination at 26 weeks.|