INTRODUCTION: Based on randomised controlled trials, evidence exists that early supported discharge (ESD) from the hospital with continued rehabilitation at home has beneficial effects after @entity64 ; however, the effects of ESD service in regular clinical practice have not been investigated. The purpose of the current study was to compare ESD service with conventional rehabilitation in terms of @entity1 outcomes, caregiver burden at 3 and 12 months and the use and costs of healthcare during the first year after @entity64 . MATERIAL AND METHODS: This study was a subgroup analysis of a longitudinal observational study of @entity1 who received care in the @entity64 unit at Karolinska University Hospital in Sweden. @entity1 who met the inclusion criteria for ESD in previous experimental studies were included. The @entity1 were referred to available rehabilitation services at discharge, and comparisons between those who received ESD service (the ESD group, n = 40) and those who received conventional rehabilitation (the NoESD group, n = 110) were performed with regard to independence in activities of daily living (ADL), the frequency of social activities, life satisfaction, and caregiver burden and the use and costs of healthcare during the first year after @entity64 . RESULTS: At 3 and 12 months, no differences were observed with regard to @entity1 outcomes; however, ESD was associated with a lower caregiver burden (p = 0.01) at 12 months. The initial length of stay (LOS) at the hospital was 8 days for the ESD group and 15 days for the NoESD group (p = 0.02). The median number of outpatient rehabilitation contacts was 20.5 for the ESD group (81% constituting ESD service) and 3 for the NoESD group (p<0.001). There was no difference between the groups with regard to overall healthcare costs. CONCLUSIONS: ESD service in usual clinical practice renders similar health benefits as conventional rehabilitation but a different pattern of resource use and with released capacity in @entity64 .

Usual Clinical Practice for Early Supported Discharge after XXXX with Continued Rehabilitation at Home: An Observational Comparative Study.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity64 :: ('MESH:D020521', 'Disease') :: ['acute stroke care', 'stroke']
@entity64 :: (MESH:D020521,Disease) :: ['Stroke']
