SynthesisStroke2011
A consensus on stroke: early supported discharge.
Synthesis in Stroke, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
54 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The effect of the Mediterranean diet on health outcomes in post-stroke adults: a systematic literature review of intervention trials.European journal of clinical nutrition · 2023Pooled it
- Early supported discharge services for people with acute stroke.The Cochrane database of systematic reviews · 2017Pooled it
- Interventions to improve the use of systematic reviews in decision-making by health system managers, policy makers and clinicians.The Cochrane database of systematic reviews · 2012Pooled it
- Early Occupational Therapy Intervention post-stroke (EOTIPS): A randomized controlled trial.PloS one · 2024Trial
- Referral-based transition to subsequent rehabilitation at home after stroke: one-year outcomes and use of healthcare services.BMC health services research · 2022Trial
- Patients' Adaptations After Acute Respiratory Distress Syndrome: A Qualitative Study.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2021Trial
- An extended stroke rehabilitation service for people who have had a stroke: the EXTRAS RCT.Health technology assessment (Winchester, England) · 2020Trial
- Trial
- Trial
- Implementation of evidence-based weekend service recommendations for allied health managers: a cluster randomised controlled trial protocol.Implementation science : IS · 2018Trial
- Early home-supported discharge for patients with stroke in Portugal: a randomised controlled trial.Clinical rehabilitation · 2017Trial
- Trial
- Ability in daily activities after early supported discharge models of stroke rehabilitation.Scandinavian journal of occupational therapy · 2015Trial
- Trial
- Trial
- Gothenburg very early supported discharge study (GOTVED) NCT01622205: a block randomized trial with superiority design of very early supported discharge for patients with stroke.BMC neurology · 2013Trial
- Early nursing interventions in post-stroke neurological rehabilitation: a comprehensive review of evidence predominantly from high-resource settings.Frontiers in neurology · 2026Review
- Experiences and preferences of people with stroke and caregivers, around supports provided at the transition from hospital to home: a qualitative descriptive study.BMC neurology · 2024Article
- Better functional recovery after acute stroke in older patients managed in a new dedicated post-stroke geriatric unit compared to usual management.The journal of nutrition, health & aging · 2024Observational
- Impact of Frailty on Healthcare Outcomes after Cardioembolic Ischaemic Stroke Due to Atrial Fibrillation.International journal of environmental research and public health · 2024Article
Corrections and comments
- Commented on by
Authors and funding
14 authors.
Funding
Abstract
background and purposeResearch evidence supporting Early Supported Discharge (ESD) services has been summarized in a Cochrane Systematic Review. Trials have shown that ESD can reduce long-term dependency and admission to institutional care and reduce the length of hospital stay. No adverse impact on the mood or well-being of patients or carers has been reported. With the implementation of many national and international stroke initiatives, we felt it timely to reach consensus about ESD among trialists who contributed to the review.
methodsWe used a modified Delphi approach with 10 ESD trialists. An agreed list of statements about ESD was generated from the Cochrane review and three rounds of consultation completed. ESD trialists rated statements regarding team composition, model of team work, intervention, and success.
resultsConsensus of opinion (>75% agreement) was obtained on 47 of the 56 statements. Multidisciplinary, specialist stroke ESD teams should plan and co-ordinate both discharge from hospital and provide rehabilitation in the community. Specific eligibility criteria (safety, practicality, medical stability, and disability) need to be followed to ensure this service is provided for mild to moderate stroke patients who can benefit from ESD. Length of stay in hospital, patient and carer outcome measures and cost, need to be routinely audited.
conclusionsWe have created a consensus document that can be used by commissioners and service providers in implementing ESD services. Our aim is to promote the use of recommendations derived from research findings to facilitate successful implementation of stroke services nationally and internationally.
Indexed as
Identifiers
21441151What OpenQuestion holds
Registered trials
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.