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Stroke

Consensus on evidence-based implementation of early supported discharge

Early supported discharge (ESD) is a model of stroke care that decreases the inpatient length of stay and provides superior functional benefit compared with inpatient rehabilitation. Recently published consensus guidelines from a panel of ESD trialists provide a practical blueprint for implementing the ESD model and measuring its effectiveness.

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References

  1. Millikan, C. H. Stroke intensive care units: objectives and results. Stroke 10, 235–237 (1979).

    Article  CAS  Google Scholar 

  2. Langhorne, P., Williams, B. O., Gilchrist, W. & Howie, K. Do stroke units save lives? Lancet 342, 395–398 (1993).

    CAS  Google Scholar 

  3. Wade, D. T., Langton-Hewer, R., Skilbeck, C. E., Bainton, D. & Burns-Cox, C. Controlled trial of a home-care service for acute stroke patients. Lancet 1, 323–326 (1985).

    Article  CAS  Google Scholar 

  4. Langhorne, P. & Holmqvist, L. W. Early supported discharge after stroke. J. Rehabil. Med. 39, 103–108 (2007).

    Article  Google Scholar 

  5. Thorsén, A. M., Widén Holmqvist, L. & von Koch, L. Early supported discharge and continued rehabilitation at home after stroke: 5-year follow-up of resource use. J. Stroke Cerebrovasc. Dis. 15, 139–143 (2006).

    Article  Google Scholar 

  6. Early Supported Discharge Trialists. Services for reducing duration of hospital care for acute stroke patients. Cochrane Database of Systematic Reviews, Issue 2. Art. No.: CD000443. doi:10.1002/14651858.CD000443.pub2 (2005).

  7. Fisher, R. J. et al. A consensus on stroke: early supported discharge. Stroke 42, 1392–1397 (2011).

    Article  Google Scholar 

  8. Miller, E. L. et al. Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient: a scientific statement from the American Heart Association. Stroke 41, 2402–2448 (2010).

    Article  Google Scholar 

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Correspondence to Dileep R. Yavagal.

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Haussen, D., Yavagal, D. Consensus on evidence-based implementation of early supported discharge. Nat Rev Neurol 7, 482–483 (2011). https://doi.org/10.1038/nrneurol.2011.128

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