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Rehabilitation at home after early supported discharge (ESD) for elderly patients after stroke

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SBU Assessment

Presents a comprehensive, systematic assessment of available scientific evidence for effects on health, social welfare or disability. Full assessments include economic, social and ethical impact analyses. Assessment teams include professional practitioners and academics. Before publication the report is reviewed by external experts, and scientific conclusions approved by the SBU Board of Directors.

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Published: Report no: 234 https://www.sbu.se/234e

Conclusions

  • When the interdisciplinary team is both responsible for co-ordination of the discharge and for the continued rehabilitation in the home environment, fewer people die or are dependent on assistance in their personal ADL. The cost of health care does not appear to increase in short term follow ups, which means that the intervention/service is most likely cost effective. Today, most hospitals in Sweden have not implemented this service model.
  • The scientific evidence is insufficient to assess the effects, when the interdisciplinary team is only responsible for the discharge but not the continued rehabilitation in the home environment for elderly patients after stroke.
  • The initial hospital stay is shorter when an interdisciplinary team is involved as compared to conventional care.

How to cite this report: SBU. Rehabilitation at home after early supported discharge (ESD) for elderly patients after stroke. Stockholm: Swedish Council on Health Technology Assessment (SBU); 2015. SBU report no 234 (in Swedish).

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