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Table 1 Integrated care

From: Organising health care services for people with an acquired brain injury: an overview of systematic reviews and randomised controlled trials

Study Patient Intervention/Comparator Outcomes Results
Indredavik 2000 Patients with acute stroke I: Chain of care provided by a mobile stroke team from the acute setting into the community ADL function and independence, living situation, death, LOS Patients receiving integrated care had improved functional outcome at 6 months (65% of the intervention group vs 52% of the control group were independent) and 1 year (56% of the intervention group vs 45% of the control group were independent). Length of stay and levels of mortality on the acute stroke unit were similar.
Design: RCT     
Size: N = 320     
Setting: Hospital to home     
Norway   C: Acute care and community care provided by different intervention teams   
PEDro: 6/10     
Kalra 2000 Patients with acute stroke I: Comprehensive stroke ward (acute and rehabilitation care provided) Mortality, ADL function, living situation, length of stay and resource use There was a statistically significant reduction in mortality in the comprehensive care group in comparison to the group receiving general ward care (OR 0.39 (95% CI 0.20 to 0.76 at 6 months).
Design: RCT     
Size: N = 457     
Setting: Hospital   I: Domiciliary multidisciplinary stroke team   
United Kingdom     
PEDro: 8/10     
   C: General ward with care from hospital based mobile stroke team   
Widen Holmqvist 1998 Patients with acute stroke I: Care provided by a hospital outreach team from the acute setting into the community Resource use, caregivers QOL and time spent caring, patient satisfaction, Sickness Impact Profile, ADL function and independence There were no statistically significant differences in outcome between groups at 3 or 12 months. Patients in the control group spent significantly more days in inpatient services (mean of 29 days vs mean of 14 days)
Design: RCT
Size: N = 81
Setting: Hospital to home C: Acute care, rehabilitation and/or community care provided by different teams
Sweden
PEDro: 7/10