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Centre for Policy on Ageing | |
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Structured re-assessment system at 6 months after a disabling stroke
— a randomised controlled trial with resource use and cost study | | Author(s) | Anne Forster, John Young, John Green |
| Journal title | Age and Ageing, vol 38, no 5, September 2009 |
| Pages | pp 576-583 |
| Source | http://www.ageing.oxfordjournals.org |
| Keywords | Stroke ; Rehabilitation ; Informal care ; Stress ; Costs [care] ; Evaluation ; Clinical surveys ; Longitudinal surveys. |
| Annotation | UK national policy (the National Service Framework for Older People - NSF) recommends routine re-assessment of disabled patients and their carers at 6 months after stroke onset. The clinical and resource outcomes of this policy were investigated in a randomised controlled trial in two centres of 265 patients with disabling stroke and their carers. Independence at 12 months post-stroke was similar in both groups, as measured by the Frenchay activities index. Emotional distress in carers was similar in both groups, as measured by the General Health Questionnaire (GHQ-28). Results for secondary outcome measures - activities of daily living (ADLs), mood state, satisfaction with services, carer strain index, health and social service resource use and costs - were similar for both groups. The intervention group patients used 301 fewer hospital bed days and 1,631 fewer care home bed days. The structured re-assessment system for patients and their carers was not associated with any clinically significant evidence of benefit at 12 months. Health and social care resource use and mean cost per patient were broadly similar in both groups. This study is in the International Standard Randomised Controlled Trial Register; number ISRCTN55412871. (RH). |
| Accession Number | CPA-091207211 A |
| Classmark | CQA: LM: P6: QNH: QDC: 4C: 3G: 3J |
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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