Establishing an effective and efficient Early Supported Discharge (ESD) rehabilitation program for Stroke clients in Perth WA

Not Applicable

Recruiting

• Conditions: Stroke rehabilitation; early supported discharge; Stroke - Ischaemic; Stroke - Haemorrhagic

• Registration Number: ACTRN12611001243909
• Lead Sponsor: Royal Perth Hosptial (RPH)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2011-12-06
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 180

Inclusion Criteria

Resident in SMAHS catchment area (postcode)
- admitted to RPH Stroke unit
- mild/mod stroke as assessed on the NIHSS
- eligible for RITH program as per RITH criteria (including exclusion criteria for safe home visiting).

Exclusion Criteria

- Known discharge destination not in the SMAHS RITH catchment area, i.e. rural patients
- Medically unstable for discharge to a home based service
- safety concerns for home visiting as per RITH SMAHS safe home visiting policy

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary end point of the study is the functional outcome as assessed by the Lawtons Activity of Daily Living (Lawtons ADL) scale at 6months post discharge.[6 months post stroke admission];The cost utility assessment will use the primary outcome relative to any observable changes to the LOS of the matched cohorts (plus a historical comparison).<br><br>the cost analysis will be the cost of the health care provided - system costs of stroke rehabiliation. ie: cost of inpatient care on a bedday cost versus cost of home based rehabilitation. there are no costs associated to the patient in monetary terms. <br>Patient and carer impact will be assessed using carer strain index and health realted quality of life. the study does not include the cost of home based community services and non-paid carer time.[over 12 month period]

Secondary Outcome Measures

Name	Time	Method
Functional independence measure (FIM)<br>measures patient functional level - activity level[6 months and 12 months post stroke admission];Modified Rankin<br>measures participation level[6 months and 12 months post stroke admission];Chedoke McMaster Postural control<br>measures impairment of motor control[6 months and 12 months post stroke admission];Lawtons ADL<br>measuring patient functional level in the community, activity level[6 months and 12 months post stroke admission];Carer strain index<br>measuring carer stress and burden[6 months and 12 months post stroke admission];SF12<br>health realted quality of life for patient[6 months and 12 months post stroke admission]