Randomized trial of team care following stroke

Completed

Phase N/A Results

Trial Description

To examine the effects of interdisciplinary team care on acute hospitalized stroke patients.

Interventions

Trial Design

Randomized, stratified, single-blind, controlled trial of 130 patients at a single center. Stratification was by prognosis (good or poor).

Patient Involvement

Patients were randomly assigned to Traditional or Team care. In the Traditional group, personal or attending physician was responsible for care plan of patient and nursing care was provided by nursing staff on the wards. Involvement of family members was not emphasized for patients receiving Traditional treatment. In this group, physical therapy and social services were available only at the request of the physician. In the Treatment group, care was administered by a Stroke Coordinator and was an interdisciplinary effort aimed at providing care for the stroke patients' medical, emotional and illness-related social problems. A Primary Nurse was assigned to each Team patient and remained with the patient for the duration of his/her hospital stay. Team care also included immediate evaluation and commencement of treatment if appropriate by physical therapist, occupational therapist, speech therapist and social service provider. Each patient in the Team group had a coordinated plan of action developed by the interdisciplinary team during weekly meetings. Family members were invited to participate in patients' care. Patients received traditional or Team Care for five weeks or until hospital discharge.

Outcomes

Type Measure Time Frame Safety Issue
Primary Motor performance as assessed by upper and lower extremity and balance ability components of the Brunnstrum Evaluation form; independence in activities of daily living as assessed by Barthel Index.; mortality. Outcome data was gathered three to five days after symptom onset and at five weeks.

Sponsors

National Center for Health Services Research of the U.S. Public Health Service