Evidence map›Paper›PMID 40108578›Full record

Trial reportBMC health services research2025

Gothenburg very early supported discharge: evaluating differences in costs and environmental impact due to rehabilitation consumption during the first year in patients hospitalized due to mild stroke.

Lena Rafsten, Annie Palstam, Katharina S Sunnerhagen

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01622205 (Phase 2 Study of Very Early Supported Discharge From a Stroke Unit in), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

NCT01622205 phase2completednot on this map

Phase 2 Study of Very Early Supported Discharge From a Stroke Unit in

TypeinterventionalSponsorGöteborg UniversityRan2011 to 2019Enrolled140ConditionsStrokeArmsVery early supported discharge (VESD), Ordinary rehabilitation
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Lena RafstenInstitute of Neuroscience and Physiology, Dept of Clinical Neuroscience and Rehabilitation Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. lena.rafsten@neuro.gu.se.
Annie PalstamInstitute of Neuroscience and Physiology, Dept of Clinical Neuroscience and Rehabilitation Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Katharina S SunnerhagenInstitute of Neuroscience and Physiology, Dept of Clinical Neuroscience and Rehabilitation Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been showed that Early Supported Discharge could decrease the length of hospital stay and thus a cost saving alternative to conventional in-hospital stroke rehabilitation. This might lead to decreased environmental impact due to reduced need of in-hospital care but has not been evaluated.

methodsOne hundred forty adult patients from a stroke unit at the Sahlgrenska University Hospital who were consecutively included in the GOTVED study and then randomized to Very Early Supported Discharge (VESD) group or to a control group who received ordinary discharge was included. Descriptive data are presented as mean ± standard deviation (SD) or median and interquartile range (IQR), as appropriate. The chi-square test or Mann-Whitney U test was used to test for group difference. A two-sided value of p ≤ 0.05 was considered to represent statistical significance.

resultsThe VESD group had an average hospital stay that was 2 days shorter than that of the control group, resulting in a mean cost of € 11,151 in the VESD group, and for the control group € 10,741 (p = 68). The mean environmental impact in kg CO DISCUSSION: Despite the fact that the 2-day difference in hospital stay between the VESD group and the control group was not statistically, if generalized a two days shorter in-hospital stay to all hospitalized stroke patients in Sweden, would results in a saving of € 6,944,500 /year. Two days shorter in-hospital days would also mean a reduction in CO

conclusionA policy of offering more patients VESD after stroke could reduce healthcare costs and environmental impact, contributing to sustainable healthcare.

trial registrationclinicaltrials.gov: NCT01622205, 2012-06-18 .

Indexed as

Patient DischargeStroke RehabilitationAgedAged, 80 and overEnvironmentFemaleHumansLength of StayMaleMiddle AgedStrokeSwedenEarly supported dischargeEconomyRehabilitationStrokeSustainability

Identifiers

PMID40108578
PMCPMC11924604

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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.