Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2009 Nov-Dec;18(6):443-52.
doi: 10.1016/j.jstrokecerebrovasdis.2009.02.002.

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

Kyle Allen  1 , Susan Hazelett, David Jarjoura, Keding Hua, Kathy Wright, Janice Weinhardt, Denise Kropp
Affiliations
Randomized Controlled Trial

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

Kyle Allen et al. J Stroke Cerebrovasc Dis. 2009 Nov-Dec.

Abstract

Objective: We sought to evaluate whether comprehensive postdischarge care management for stroke survivors is superior to organized acute stroke department care with enhanced discharge planning in improving a profile of health and well-being.

Methods: This was a randomized trial of a comprehensive postdischarge care management intervention for patients with ischemic stroke and National Institutes of Health Stroke Scale scores greater than or equal to 1 discharged from an acute stroke department. An advanced practice nurse performed an in-home assessment for the intervention group from which an interdisciplinary team developed patient-specific care plans. The advanced practice nurse worked with the primary care physician and patient to implement the plan during the next 6 months. The intervention and usual care groups were compared using a global and closed hypothesis testing strategy. Outcomes fell into 5 domains: (1) neuromotor function, (2) institution time or death, (3) quality of life, (4) management of risk, and (5) stroke knowledge and lifestyle.

Results: Treatment effect was near 0 SD for all except the stroke knowledge and lifestyle domain, which showed a significant effect of the intervention (P = .0003).

Conclusions: Postdischarge care management was not more effective than organized stroke department care with enhanced discharge planning in most domains in this population. The intervention did, however, fill a postdischarge knowledge gap.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Flow of participants in STEPS CARE Trial.
See this image and copyright information in PMC

References

    1. American Heart Association . Heart Disease and Stroke Statistics-2007 Update. American Heart Association; Dallas, Texas: 2007.
    1. Stroke Unit Trialists’ Collaboration Organized inpatient (stroke unit) care for stroke. Cochrane Database System Review. 2002;(1):CD000197. - PubMed
    1. Norrving B, Adams R. Organized stroke care. Stroke. 2006;37:326. - PubMed
    1. Klijn C, Hankey G, American Stroke Association. European Stroke Initiative Management of acute ischaemic stroke: new guidelines from the American Stroke Association and European Stroke Initiative. Lancet Neurol. 2003;2(11):698–701. - PubMed
    1. Teasell R. Stroke recovery and rehabilitation. Stroke. 2003;34:365. - PubMed

Publication types

MeSH terms