Management of patients with Stroke: REDS (Reach Early Discharge Scheme)

Source: NHS Evidence – QIPP

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Date of publication: June 2011

Publication type: Case study

In a nutshell: This QIPP case study provides details of The Stroke REACH Early Discharge Scheme (Stroke REDS). This is a specialist interdisciplinary team that can assess, facilitate and complete the discharge of patients post stroke, within 24 hours (sometimes same day) from receipt of referral.

Length of publication: 17 pages

A randomized trial testing the superiority of a postdischarge care management model for stroke survivors

Source: J Stroke Cerebrovasc Dis 2009 Nov-Dec; 18 (6): 443-452

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Date of publication: November/December 2009

Publication type: Journal Article

In a nutshell: This randomized trial considers if comprehensive postdischarge care management for stroke patients is more effective than organized acute stroke department care with enhanced discharge planning.

Length of publication: 10 page article

Progress in improving stroke care

Source: National Audit Office

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Date of publication: February 2010

Publication type: Report

In a nutshell: This report by the Audit Office states that the Department of Health’s strategy for stroke care has increased awareness of the condition and started to improve care and outcomes. However, improvements have not been universal, health and social care services are not working together as they should, a third of patients do not receive a follow up appointment within six weeks, and half of all stroke survivors say that they are offered no advice on stroke prevention when leaving hospital.

Length of publication: 46 page report

Acknowledgement: HSJ

A Randomized Trial Testing the Superiority of a Postdischarge Care Management Model for Stroke Survivors

Source: Journal of Stroke & Cerebrovascular Diseases 2009 Nov; 18 (6): 443-452

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Date of publication: November 2009

Publication type: Journal Article

In a nutshell: This study aims to evaluate whether comprehensive postdischarge care management for stroke survivors is superior to organized acute stroke department care with enhanced discharge planning in improving health and well-being.

Length of publication: 10 page article

Variations in follow-up services after inpatient stroke rehabilitation: a multicentre study

Source: Journal of Rehabilitation Medicine 2009 Jul; 41 (8): 646-653

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Date of publication: July 2009

Publication type: Journal Article

In a nutshell: This study looks at the variations in stroke care after discharge from inpatient rehabilitation units across Europe. Rehabilitation centres in Germany, Switzerland, Belgium and the UK were considered. The study found that patients in the UK were less likely to receive medical care from their GP compared with other patient groups.

Length of publication: 8 page article

Cost-Effectiveness of Stroke Unit Care Followed by Early Supported Discharge

Source: Stroke 2009 Jan; 40: 24-29

For abstract link here

Year of publication: 2009

Publication type: Journal Article

In a nutshell: Stroke places a significant burden on the economy in England and Wales with the overall societal costs estimated at £7 billion per annum. There is evidence that both stroke units (SUs) and early supported discharge (ESD) are effective in treating patients with stroke. This study assesses the cost-effectiveness of the combination of these 2 strategies and compares it with the care provided in SU without ESD and in a general medical ward without ESD. The objective of this study was to model the long-term (10 years) cost-effectiveness of SU care followed by ESD.

Length of publication: 6 page article

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Going home to get on with life: Patients and carers experiences of being discharged from hospital following a stroke

Source: Disability and Rehabilitation 2009; 31 (2): 61-72

For abstract link here

Year of publication: 2009

Publication type: Journal Article

In a nutshell: In this paper we aim to develop the understanding of what constitutes a ‘good’ or ‘poor’ experience in relation to the transition from hospital to home following a stroke.

Length of publication: 12 page article

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