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Centre for Policy on Ageing | |
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Bridging the gap
— the effectiveness of teaming a stroke coordinator with patient's personal physician on the outcome of stroke | | Author(s) | Nancy E Mayo, Lyne Nadeau, Sara Ahmed |
| Journal title | Age and Ageing, vol 37, no 1, January 2008 |
| Pages | pp 32-38 |
| Source | http://www.ageing.oupjournals.org |
| Keywords | Stroke ; Discharge [hospitals] ; Aftercare ; Nurses ; General practitioners ; Coordination ; Canada. |
| Annotation | Participants were 190 people (mean age 70) returning home directly from acute care hospitals in Montreal, following a first or recurrent stroke with a need for health care supervision post-discharge because of low function, co-morbidity or isolation. For 6 weeks following discharge, a nurse stroke care manager maintained contact with patients through home visits and telephone calls designed to co-ordinate care with the person's personal physician and link the stroke survivor into community-based stroke services. The Physical Component Summary (PCS) of the Short Form (SF-36) survey was used. Also measured were health service use and the impact of stroke on functioning. Measurements were made at hospital discharge, following the 6-week intervention, and 6 months post-stroke. Discharge was achieved on average 12 days post-stroke, and most participants had had a stroke of moderate severity. There were no differences between groups on the primary outcome measure, health service use or any secondary outcome measures. For this population, there was no evidence that this type of passive case management inferred any added benefit in terms of improvement in health-related quality of life (HRQoL) or reduction in health service use and stroke impact, than usual post-discharge management. (RH). |
| Accession Number | CPA-080304202 A |
| Classmark | CQA: LD:QKJ: LN: QTE: QT6: QAJ: 7S |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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