Evidence map›Paper›PMID 36031608›Full record

SynthesisBMC health services research2022

Effectiveness of interventions to support the transition home after acute stroke: a systematic review and meta-analysis.

Geraldine O'Callaghan, Martin Fahy, Paul Murphy, Peter Langhorne, Rose Galvin, Frances Horgan

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. From Hospital to Home: Applying a Co-Design Approach to Determine the Key Components of an Intervention to Support Transition-To-Home After Stroke.Health expectations : an international journal of public participation in health care and health policy · 2024
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  15. Feasibility, Fidelity and Acceptability of a Person-Centred Care Transition Support Intervention for Stroke Survivors: A Non-Randomised Controlled Study.Health expectations : an international journal of public participation in health care and health policy · 2024
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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

6 authors.

Geraldine O'CallaghanRCSI School of Physiotherapy, RCSI University of Medicine and Health Sciences, Dublin 2, DO2 YN77, Ireland. gocallaghan@rcsi.com.
Martin FahyDivision of Population Health Sciences, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Paul MurphyRCSI Library, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Peter LanghorneInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, G31 2ER, UK.
Rose GalvinSchool of Allied Health, Faculty of Education and Health Sciences, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, V94 T9PX, Ireland.
Frances HorganRCSI School of Physiotherapy, RCSI University of Medicine and Health Sciences, Dublin 2, DO2 YN77, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective support interventions to manage the transition to home after stroke are still mostly unknown.

aimThe purpose of this systematic review was to investigate the effectiveness of support interventions at transition from organised stroke services to independent living at home.

methodsThe Cochrane Central Register of Controlled Trials, six databases including MEDLINE and Embase, trial registries, grey literature, and Google Scholar were all searched, up to June 2021. We included randomised controlled trials enrolling people with stroke to receive either standard care or any type of support intervention from organised stroke services to home. The primary outcome was functional status. Two authors determined eligibility, extracted data, evaluated risk of bias (ROB2), and verified the evidence (GRADE). Where possible we performed meta-analyses using Risk Ratios (RR) or Mean Differences (MD).

resultsWe included 17 studies. Support interventions led to important improvements in functional status, as determined by the Barthel Index up, to 3-months (MD 7.87 points, 95%CI:6.84 to 19.16; 620 participants; five studies; I

conclusionsIncorporating support interventions as people who have experienced a stroke transition from hospital to home can improve functional status and other outcomes. Due to study heterogeneity, the essential components of effective transition of care interventions are still unknown. Adoption of core outcome sets in stroke research would allow for greater comparison across studies. Application of a development and evaluation framework engaging stakeholders would increase understanding of priorities for stroke survivors, and inform the key components of an intervention at transition from hospital-to-home.

trial registrationCRD42021237397 - https://www.crd.york.ac.uk/prospero.

Indexed as

StrokeStroke RehabilitationAnxietyHumansIndependent LivingQuality of LifeIntervention effectivenessMeta-analysisStrokeSystematic reviewTransition

Identifiers

PMID36031608
PMCPMC9420257

What OpenQuestion holds

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LicenceCC BY
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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.