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Indredavik 2000
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Patients with acute stroke
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I: Chain of care provided by a mobile stroke team from the acute setting into the community
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ADL function and independence, living situation, death, LOS
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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.
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Design: RCT
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Size: N = 320
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Setting: Hospital to home
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Norway
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C: Acute care and community care provided by different intervention teams
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PEDro: 6/10
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Kalra 2000
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Patients with acute stroke
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I: Comprehensive stroke ward (acute and rehabilitation care provided)
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Mortality, ADL function, living situation, length of stay and resource use
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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).
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Design: RCT
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Size: N = 457
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Setting: Hospital
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I: Domiciliary multidisciplinary stroke team
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United Kingdom
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PEDro: 8/10
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C: General ward with care from hospital based mobile stroke team
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Widen Holmqvist 1998
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Patients with acute stroke
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I: Care provided by a hospital outreach team from the acute setting into the community
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Resource use, caregivers QOL and time spent caring, patient satisfaction, Sickness Impact Profile, ADL function and independence
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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)
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Design: RCT
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Size: N = 81
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Setting: Hospital to home
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C: Acute care, rehabilitation and/or community care provided by different teams
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Sweden
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PEDro: 7/10
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