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Stroke rehabilitation after hospital discharge
 — a randomized trial comparing domiciliary and day hospital care
Author(s)Paul Roderick, Joe Low, Richard Day
Journal titleAge and Ageing, vol 30, no 4, July 2001
Pagespp 303-310
KeywordsStroke ; Discharge [hospitals] ; Day hospitals ; Rehabilitation ; Therapeutic services [domiciliary] ; Costs [care] ; Comparison ; Poole.
AnnotationStroke patients receiving rehabilitation are the largest patient group treated in geriatric day hospitals. Domiciliary rehabilitation is an alternative with potential advantages. These two forms of care were compared for 140 newly identified stroke patients in Poole, Dorset, who were assigned to one of the two groups. Domiciliary rehabilitation was as effective as day hospital care, though social function and mental state remained low at 6-month follow-up. Domiciliary rehabilitation reduced health service costs, but increased social service costs. The average cost per person was the same in each group. Thus, a mixed model of day hospital and domiciliary therapy may be the most cost-effective policy for community rehabilitation for older stroke patients, but this requires further evaluation. (RH).
Accession NumberCPA-010907205 A
ClassmarkCQA: LD:QKJ: LDD: LM: N3: QDC: 48: 8DOD

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