Rehabilitation therapy services for stroke patients living at home: systematic review of randomised trials.
Background: Stroke-unit care can be valuable for stroke patients in hospital, but effectiveness of outpatient care is less certain. We aimed to assess the effects of therapy-based rehabilitation services targeted at stroke patients resident in the community within 1 year of stroke onset or discharge...
| Publicado en: | Lancet Vol. 363; no. 9406; pp. 352 - 357 |
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| Autores principales: | , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Lancet
1/31/2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106672898&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106672898 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01406736 LAN jtl: Lancet issn: 01406736 maglogo: N pubinfo: dt: 1/31/2004 vid: 363 iid: 9406 pid: 1297 pub: Lancet place: Philadelphia, Pennsylvania artinfo: ui: 106672898 106672898 NLM15070563 2004203388 10.1016/s0140-6736(04)15434-2 NLM15070563 106672898 ppf: 352 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Rehabilitation therapy services for stroke patients living at home: systematic review of randomised trials. aug: au: Legg, L Langhorne, P affil: Academic Section of Geriatric Medicine, Level 3, Centre Block, Royal Infirmary, Glasgow G4 OSF, UK sug: subj: Stroke Rehabilitation Home Rehabilitation Aged Clinical Assessment Tools Clinical Trials Confidence Intervals Descriptive Statistics Home Occupational Therapy Home Physical Therapy Meta Analysis Middle Age Multidisciplinary Care Team Odds Ratio Outpatients Funding Source Human Aged: 65+ years Middle Aged: 45-64 years ab: Background: Stroke-unit care can be valuable for stroke patients in hospital, but effectiveness of outpatient care is less certain. We aimed to assess the effects of therapy-based rehabilitation services targeted at stroke patients resident in the community within 1 year of stroke onset or discharge from hospital. Methods: We did a systematic review of randomised trials of outpatient services, including physiotherapy, occupational therapy, and multidisciplinary teams. We used Cochrane collaboration methodology. Findings: We identified a heterogeneous group of 14 trials (1617 patients). Therapy-based rehabilitation services for stroke patients living at home reduced the odds of deteriorating in personal activities of daily living (odds ratio 0.72 [95% CI 0.57-0.92], p=0.009) and increased ability of patients to do personal activities of daily living (standardised mean difference 0.14 [95% CI 0.02-0.25], p=0.02). For every 100 stroke patients resident in the community receiving therapy-based rehabilitation services, seven (95% CI 2-11) would not deteriorate. Interpretation: Therapy-based rehabilitation services targeted at selected patients resident in the community after stroke improve ability to undertake personal activities of daily living and reduce risk of deterioration in ability. These findings should be considered in future service planning. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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