Evidence map›Paper›PMID 19900646›Full record

Trial reportJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

A randomized trial testing the superiority of a postdischarge care management model for stroke survivors.

Kyle Allen, Susan Hazelett, David Jarjoura, Keding Hua, Kathy Wright, Janice Weinhardt, Denise Kropp

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 15 pooled it
1.5field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 15 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
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  4. Information provision for stroke survivors and their carers.The Cochrane database of systematic reviews · 2021
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  10. Self management programmes for quality of life in people with stroke.The Cochrane database of systematic reviews · 2016
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  13. Information provision for stroke patients and their caregivers.The Cochrane database of systematic reviews · 2012
    Pooled it
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  16. Quality of life after stroke: a longitudinal analysis of a cluster randomized trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Kyle AllenHealth Services Research and Education Institute, Department of Medicine, Summa Health System, Akron, Ohio 44304, USA.
Susan Hazelett
David Jarjoura
Keding Hua
Kathy Wright
Janice Weinhardt
Denise Kropp
Summa Health System · USThe Ohio State University · USNortheast Ohio Medical University · US

Funding

University of Iowa Clinical and Translational Science Program (TL1)UL1RR025755 · NCRR · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2008 to 2011
$26.3M
A Post Discharge Intervention to Improve Stroke OutcomesR01NS041333 · NINDS · SUMMA HEALTH SYSTEM · PI ALLEN, KYLE RICHARD · 2002 to 2004
$789k
NCRR NIH HHS UL1 RR025755NINDS NIH HHS 5 R01 NS041333-02NINDS NIH HHS R01 NS041333
6 · The paper itself

Abstract

objectiveWe sought to evaluate whether comprehensive postdischarge care management for stroke survivors is superior to organized acute stroke department care with enhanced discharge planning in improving a profile of health and well-being.

methodsThis was a randomized trial of a comprehensive postdischarge care management intervention for patients with ischemic stroke and National Institutes of Health Stroke Scale scores greater than or equal to 1 discharged from an acute stroke department. An advanced practice nurse performed an in-home assessment for the intervention group from which an interdisciplinary team developed patient-specific care plans. The advanced practice nurse worked with the primary care physician and patient to implement the plan during the next 6 months. The intervention and usual care groups were compared using a global and closed hypothesis testing strategy. Outcomes fell into 5 domains: (1) neuromotor function, (2) institution time or death, (3) quality of life, (4) management of risk, and (5) stroke knowledge and lifestyle.

resultsTreatment effect was near 0 SD for all except the stroke knowledge and lifestyle domain, which showed a significant effect of the intervention (P = .0003).

conclusionsPostdischarge care management was not more effective than organized stroke department care with enhanced discharge planning in most domains in this population. The intervention did, however, fill a postdischarge knowledge gap.

Indexed as

Continuity of Patient CareHome Care Services, Hospital-BasedPatient Care TeamPatient DischargeAgedFemaleHealth Knowledge, Attitudes, PracticeHumansLength of StayMaleMotor ActivityQuality of LifeRecurrenceRisk Reduction BehaviorSeverity of Illness IndexStroke

Identifiers

PMID19900646
PMCPMC2802837
OpenAlexW2170364798

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.