Rehabilitation at home after early supported discharge (ESD) for elderly patients after stroke

This document was published more than 2 years ago. The nature of the evidence may have changed.

Conclusions

  • When the interdisciplinary team is both responsible for co-ordination of the discharge and for the continued rehabilitation in the home environment, fewer people die or are dependent on assistance in their personal ADL. The cost of health care does not appear to increase in short term follow ups, which means that the intervention/service is most likely cost effective. Today, most hospitals in Sweden have not implemented this service model.
  • The scientific evidence is insufficient to assess the effects, when the interdisciplinary team is only responsible for the discharge but not the continued rehabilitation in the home environment for elderly patients after stroke.
  • The initial hospital stay is shorter when an interdisciplinary team is involved as compared to conventional care.

How to cite this report: SBU. Rehabilitation at home after early supported discharge (ESD) for elderly patients after stroke. Stockholm: Swedish Council on Health Technology Assessment (SBU); 2015. SBU report no 234 (in Swedish).

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SBU Assessment presents a comprehensive, systematic assessment of available scientific evidence. The certainty of the evidence for each finding is systematically reviewed and graded. Full assessments include economic, social, and ethical impact analyses.

SBU assessments are performed by a team of leading professional practitioners and academics, patient/user representatives and SBU staff. Prior to approval and publication, assessments are reviewed by independent experts, SBU’s Scientific Advisory Committees and Board of Directors.

Published: 1/29/2015
Contact SBU: registrator@sbu.se
Report no: 234
http://www.sbu.se/234e
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