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Table 4 RCT outcomes

From: Multidisciplinary care planning in the primary care management of completed stroke: a systematic review

Study

Patient group

Outcome measure

Estimate of treatment effect (Intervention/Control)

Result (P values if ≤ 0.05, or reported 95% CIsa)

1. Function

    

Askim

Stroke patients discharged to rural areas

Independent at

  
  

6 wks

51.6/51.6%

NSb

  

12 months

39.0/52.0%

NS

Fagerberg

Stroke patients requiring hospitalisation

   
  

Barthel Index

  
  

   Baseline

44/42

NS

  

   3 wks

71/67

NS

  

   3 mo

80/79

NS

  

   12 mo

82/76

NS

  

At home

  
  

   3 wks

46/44"%

NS

  

   3 mo

68/61%

NS

  

   12 mo

61/59%

NS

Trondheim Study Ingeberg

Early discharge from stroke unit vs normal care

% at home

  
  

   post initial admission

64.4/45.6%

P 0.001

  

   6 wks

74.4/55.6%

P 0.0004

  

   26 wks

78.8/73.2%

P 0.239

  

   52 wks

75/68.8%

P 0.265

  

Independent at

  
  

26 wks

65/51.9%

P 0.017

   

Rankin Scale <2

ORc 1.72 (1.10–2.70)

   

Barthel Index <95

1.54 (0.99–2.39)\

  

52 wks

Rankin Scale <2

OR 1.56 (1.02–2.44)

   

56.4/44%

 

2. Mortality

    

Fagerberg

Stroke patients requiring hospitalsation

3 wks

9/10%

NS

  

3 mo

13/16%

NS

  

12 mo

27/23%

NS

Trondheim

Early discharge from stroke unit vs normal care

6 wks

2.5/4/4%

NS

  

26 wks

8.1/9.4%

NS

  

52 wks

13.1/16.3

NS

3. Quality of Life

    

Askim

Stroke patients discharged to rural areas

Nottingham Health Profile

  
  

Seven subscales

  
  

6 weeks

 

NS

  

26 weeks

Social isolation subscale

0.046

   

Others (6 subscales)

NS

  

52 weeks

 

NS

  

Caregiver Strain 'Index

  
  

6 weeks

 

NS

  

26 weeks

 

NS

  

52 weeks

 

NS

Trondheim

Early discharge from stroke unit vs normal care

Global Nottingham Profile

  
  

52 wks

  
  

   Part 1

81.6/78.9 (median)

0.048

  

   Part 2

84.3/79.4

0.073

  

Caregiver Strain index

  
  

52 wks

Trend favours intervention

0.076

3. Service utilisation

    

Trondheim

Early discharge from stroke unit vs normal care

Days as inpatient 52 wks

18.6/31.1

0.032

  1. a CI Confidence Interval
  2. b NS not significant
  3. c OR Odds Ratio