Evidence map›Paper›PMID 26837431›Full record

Trial reportClinical rehabilitation2017

Early home-supported discharge for patients with stroke in Portugal: a randomised controlled trial.

Silvina Santana, José Rente, Conceição Neves, Patrícia Redondo, Nina Szczygiel, Torben Larsen, Birgitte Jepsen, Peter Langhorne

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 6 pooled it
3.4field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 6 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Early supported discharge services for people with acute stroke.The Cochrane database of systematic reviews · 2017
    Pooled it
  5. Early discharge hospital at home.The Cochrane database of systematic reviews · 2017
    Pooled it
  6. Pooled it
  7. Trial
  8. Article
  9. Article
  10. Article
  11. The cost of ischaemic stroke in Croatia.European stroke journal · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Garments for functional electrical stimulation: Design and proofs of concept.Journal of rehabilitation and assistive technologies engineering
    Article
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

8 authors at 4 institutions in 3 countries.

Silvina Santana1 University of Aveiro, Aveiro, Portugal.
José Rente2 Hospital Infante D. Pedro Stroke Unit, Aveiro, Portugal.
Conceição Neves2 Hospital Infante D. Pedro Stroke Unit, Aveiro, Portugal.
Patrícia Redondo1 University of Aveiro, Aveiro, Portugal.
Nina Szczygiel1 University of Aveiro, Aveiro, Portugal.
Torben Larsen3 University of Southern Denmark, Odense, Denmark.
Birgitte Jepsen4 Ringe Neurorehabilitation Unit, University Hospital of Odense, Odense, Denmark.
Peter Langhorne5 University of Glasgow, Glasgow, UK.
University of Aveiro · PTOdense University Hospital · DKUniversity of Glasgow · GBUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate an early home-supported discharge service for stroke patients.

designWe carried out a prospective, randomised, open-label, blinded-endpoint trial (allocation ratio of 1:1) with patients assigned to either an early home-supported discharge service or usual care.

settingThe study was undertaken in Aveiro, Portugal, between April 2009 and April 2013. SUBJECTS: We included stroke patients aged 25-85 years admitted to the stroke unit with an initial Functional Independence Measure of up to 100, who gave informed consent.

interventionsPatients in the early home-supported discharge group began their rehabilitation intervention in the stroke unit and the early home-supported discharge team worked with them at home for a maximum of one month. Patients in the control group received usual services. MAIN MEASURES: The primary outcome measure was the Functional Independence Measure at six months after stroke.

resultsWe randomised 190 patients of whom 34 were lost to follow-up. There were no significant differences (p > 0.5) in the average scores of Functional Independence Measure between the early home-supported discharge (69 ±22; mean ±SD) and the control groups (71 ±17) measured at baseline; and between the early home-supported discharge (107 ±20) and the control groups (107 ±25) measured at six months. The number of individuals with a low Functional Independence Measure score (<60) in the early home-supported discharge group compared with the control group was higher at admission (34/95 vs. 26/95) and lower at follow-up (2/74 vs. 5/78).

conclusionsIt was feasible to implement early home-supported discharge procedures in a Southern European setting, but we have not shown convincing differences in disability at six months.

Indexed as

Outcome Assessment, Health CareActivities of Daily LivingAdultAgedContinuity of Patient CareHome Care ServicesHumansMiddle AgedPatient DischargePrognosisProspective StudiesRecovery of FunctionRisk AssessmentSeverity of Illness IndexSingle-Blind MethodStrokecare continuityclinical effectivenessearly home-supported dischargeFunctional Independence Measurehome rehabilitationPortugalrandomised controlled trialStroke

Identifiers

PMID26837431
PMCPMC5302124
OpenAlexW2255328495

What OpenQuestion holds

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Registered trials

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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.