ArticleJournal of the American Geriatrics Society2018
A Person-Centered Approach to Poststroke Care: The COMprehensive Post-Acute Stroke Services Model.
Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02588664 (Early Supported Discharge for Improving Functional Outcomes After Stroke), which is not on this map. Cited by 20 papers, 1 of them a synthesis 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.
Early Supported Discharge for Improving Functional Outcomes After Stroke
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Effectiveness of Nurse-Led Transition Care on Post-Discharge Outcomes of Adult Stroke Survivors: A Systematic Review and Meta-Analysis.Nursing open · 2025Pooled it
- Hospital Readmissions and Mortality Among Fee-for-Service Medicare Patients With Minor Stroke or Transient Ischemic Attack: Findings From the COMPASS Cluster-Randomized Pragmatic Trial.Journal of the American Heart Association · 2021Trial
- Implementation of a Transitional Care Model for Stroke: Perspectives From Frontline Clinicians, Administrators, and COMPASS-TC Implementation Staff.The Gerontologist · 2020Trial
- Implementation of a billable transitional care model for stroke patients: the COMPASS study.BMC health services research · 2019Trial
- Disparities in Community-Based Rehabilitation Following Stroke: Findings From the COMPASS Trial.Journal of the American Heart Association · 2025Observational
- Increasing Methodological Transparency and Openness in Rehabilitation-Related Health Services Research Using Claims Data: A Case Example.Physical therapy · 2025Article
- Social Determinants of Health and the Use of Community-Based Rehabilitation Following Stroke: Methodologic Considerations.Archives of rehabilitation research and clinical translation · 2024Article
- Stroke and liminality: narratives of reconfiguring identity after stroke and their implications for person-centred stroke care.Frontiers in rehabilitation sciences · 2024Article
- Rehabilitation models that support transitions from hospital to home for people with acquired brain injury (ABI): a scoping review.BMC health services research · 2023Article
- Review
- Adaptation of a Personalized Electronic Care Planning Tool for Cancer Follow-up Care: Formative Study.JMIR formative research · 2023Article
- A Multi-Component Transition of Care Improvement Project to Reduce Hospital Readmissions Following Ischemic Stroke.The Neurohospitalist · 2022Article
- Co-creating Digital Stories With UK-Based Stroke Survivors With the Aim of Synthesizing Collective Lessons From Individual Experiences of Interacting With Healthcare Professionals.Frontiers in rehabilitation sciences · 2022Article
- Hospital to Home Transition for Patients With Stroke Under Bundled Payments.Archives of physical medicine and rehabilitation · 2021Article
- Telestroke Across the Continuum of Care: Lessons from the COVID-19 Pandemic.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2021Article
- Patient Factors Associated With Attendance at a Comprehensive Postacute Stroke Visit: Insight From the Vanguard Site.Archives of rehabilitation research and clinical translation · 2020Article
- A protocol for a qualitative synthesis exploring people with stroke, family members, caregivers and healthcare professionals experiences of early supported discharge (ESD) after stroke.HRB open research · 2020Article
- Cardiac Rehabilitation in Older Adults with Heart Failure: Fitting a Square Peg in a Round Hole.Clinics in geriatric medicine · 2019Review
- COMPASS-CP: An Electronic Application to Capture Patient-Reported Outcomes to Develop Actionable Stroke and Transient Ischemic Attack Care Plans.Circulation. Cardiovascular quality and outcomes · 2018Article
- The Principles of Home Care for Patients with Stroke: An Integrative Review.Iranian journal of nursing and midwifery researchReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
22 authors.
Funding
Abstract
Many individuals who have had a stroke leave the hospital without postacute care services in place. Despite high risks of complications and readmission, there is no standard in the United States for postacute stroke care after discharge home. We describe the rationale and methods for the development of the COMprehensive Post-Acute Stroke Services (COMPASS) care model and the structure and quality metrics used for implementation. COMPASS, an innovative, comprehensive extension of the TRAnsition Coaching for Stroke (TRACS) program, is a clinician-led quality improvement model providing early supported discharge and transitional care for individuals who have had a stroke and have been discharged home. The effectiveness of the COMPASS model is being assessed in a cluster-randomized pragmatic trial in 41 sites across North Carolina, with a recruitment goal of 6,000 participants. The COMPASS model is evidence based, person centered, and stakeholder driven. It involves identification and education of eligible individuals in the hospital; telephone follow-up 2, 30, and 60 days after discharge; and a clinic visit within 14 days conducted by a nurse and advanced practice provider. Patient and caregiver self-reported assessments of functional and social determinants of health are captured during the clinic visit using a web-based application. Embedded algorithms immediately construct an individualized care plan. The COMPASS model's pragmatic design and quality metrics may support measurable best practices for postacute stroke care.
Indexed as
Identifiers
What 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.