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Table 2 Care pathways

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
Kwan 2004 Patients with acute stroke I: Integrated care pathway Death or dependency, complications, readmission, use of investigations, patient satisfaction, LOS, cost of hospitalisation, QOL There do not appear to be benefits in the implementation of an ICP and it is possible that use is associated with reduced patient satisfaction and QOL
Design: SR C: No integrated care pathway
Size: 10 studies  
Setting: Acute  
AMSTAR: 7/11     
Middleton 2011 Patients with stroke I: Integrated care pathway directed at fever, hyperglycaemia and swallowing Death or dependency, ADL function, QOL, LOS, processes of care Patients managed using the ICP were less likely to be dead or dependent at 90 days (42% in the intervention group vs 58% in the control group, number needed to treat 6.4)
Design: Cluster RCT C: No integrated care pathway
Size: N = 735
Setting: Acute
Australia
PEDro: 9/10