SynthesisInternational journal of environmental research and public health2017
What Type of Transitional Care Effectively Reduced Mortality and Improved ADL of Stroke Patients? A Meta-Analysis.
Synthesis in International journal of environmental research and public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05185271 (Adopting Dyad-focused Strategy Training to Stroke Survivors and Their Caregivers), which is not on this map. Cited by 21 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.
Adopting Dyad-focused Strategy Training to Stroke Survivors and Their Caregivers: Intervention Development and a Feasibility Study
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Components of the transitional care model (TCM) to reduce readmission in geriatric patients: a systematic review.BMC geriatrics · 2020Pooled it
- Effects of remote transitional care on stroke patients: a meta-analysis.Frontiers in neurologyPooled it
- Pooled it
- Impact of a Comprehensive Transitional Care Management Model on Use of Community-Based Rehabilitation After Stroke.Journal of the American Heart Association · 2026Trial
- The stroke transitional care intervention for older adults with stroke and multimorbidity: a multisite pragmatic randomized controlled trial.BMC geriatrics · 2023Trial
- Telehealth After Stroke Care Pilot Randomized Trial of Home Blood Pressure Telemonitoring in an Underserved Setting.Stroke · 2022Trial
- Continuity of care interventions for people with stroke and their caregivers: A scoping review protocol.PloS one · 2025Article
- Primary Health Care in transitional care of people with stroke.Revista brasileira de enfermagem · 2024Article
- Integrative Approaches in Acute Ischemic Stroke: From Symptom Recognition to Future Innovations.Biomedicines · 2023Review
- Rehabilitation models that support transitions from hospital to home for people with acquired brain injury (ABI): a scoping review.BMC health services research · 2023Article
- Perceived unmet needs of an age-friendly environment: A qualitative exploration of older adults' perspectives in a Malaysian city.PloS one · 2023Article
- Investigating the effect of implementing a program based on transitional care model on the quality of life and the ability of doing activities of daily living among patients with stroke.Journal of education and health promotion · 2022Article
- Clinical effects of neuroendoscopic hematoma evacuation for hypertensive intracerebral hemorrhage.American journal of translational research · 2022Article
- Effect of Grading Rehabilitation Nursing Mode on Limb Function, Speech Rehabilitation, and Quality of Life of Stroke Patients.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- Effectiveness of interventions to support the transition home after acute stroke: a protocol for a systematic review.HRB open research · 2021Article
- Analysis of rehabilitation in stroke patients in a High Dependency Unit.American journal of translational research · 2021Article
- Which Patients Are Prescribed Escitalopram?: Predictors for Escitalopram Prescriptions and Functional Outcomes among Patients with Acute Ischemic Stroke.International journal of environmental research and public health · 2018Observational
- Elderly Stroke Rehabilitation: Overcoming the Complications and Its Associated Challenges.Current gerontology and geriatrics research · 2018Review
- Implementation of the virtual transitional care stroke intervention for older adults with stroke and multimorbidity: A qualitative descriptive study.Journal of multimorbidity and comorbidityArticle
- Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocol.Journal of comorbidityArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Stroke is a major cause of disability and mortality worldwide; yet; prior to this study; there had been no sufficient evidence to support the effectiveness of various transitional care interventions (TCI) on the disability and mortality of stroke survivors. This meta-analysis aimed to assess the effectiveness of TCI in reducing mortality and improving the activities of daily life (ADL) of stroke patients. PubMed; Web of Science; OVID; EMBASE; CINAHL; and Sino-Med were searched for articles published before November 2016. Thirty-one randomized controlled trials (RCTs) were identified in the study. This analysis showed that the total effect of TCI on reducing mortality was limited (Risk Ratio (RR) = 0.86; 95% Confidence Interval (CI): 0.75-0.98); that only home-visiting programs could reduce mortality rates (RR = 0.34; 95% CI: 0.17-0.67) compared with usual care; and that the best intervention was led by a multidisciplinary team (MT) ≤3 months (RR = 0.19; 95% CI: 0.05-0.71). In addition; home-visiting programs also produced ADL benefit (RR = 0.56; 95% CI: 0.31-0.81). Overall; there was a statistically significant difference in improving patients' independence between TCI and usual care (RR = 1.12; 95% CI: 1.02-1.23). However; none of the interventions was effective when they were differentiated in the analysis. It is the conclusion of this study that home-visiting programs; especially those led by MTs; should receive the greatest consideration by healthcare systems or providers for implementing TCI to stroke survivors.
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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.