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Article: Care pathways for acute stroke care and stroke rehabilitation: From theory to evidence

TitleCare pathways for acute stroke care and stroke rehabilitation: From theory to evidence
Authors
Issue Date2007
Citation
Journal of Clinical Neuroscience, 2007, v. 14 n. 3, p. 189-200 How to Cite?
AbstractCare pathways aim to promote evidence- and guideline-based care, improve the organisation and efficiency of care, and reduce cost. In the past decade, care pathways have been increasingly implemented as a tool in acute stroke care and stroke rehabilitation. In the most recent Cochrane systematic review, which included three randomised and 12 non-randomised studies, patient management with stroke care pathways was found to have no significant benefit on functional outcome, and patient satisfaction and quality of life might actually be worse. On the other hand, it was associated with a higher proportion of patients receiving investigations and a lower risk of developing certain complications such as infections and readmissions. Overall, the evidence supports the use of care pathways in acute stroke but not stroke rehabilitation. Future developments, including electronic care pathways, patient pathways, and pre-hospital care pathways for hyperacute stroke, will be discussed. © 2006 Elsevier Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/194177
ISSN
2015 Impact Factor: 1.387
2015 SCImago Journal Rankings: 0.609
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorKwan, J-
dc.date.accessioned2014-01-30T03:32:16Z-
dc.date.available2014-01-30T03:32:16Z-
dc.date.issued2007-
dc.identifier.citationJournal of Clinical Neuroscience, 2007, v. 14 n. 3, p. 189-200-
dc.identifier.issn0967-5868-
dc.identifier.urihttp://hdl.handle.net/10722/194177-
dc.description.abstractCare pathways aim to promote evidence- and guideline-based care, improve the organisation and efficiency of care, and reduce cost. In the past decade, care pathways have been increasingly implemented as a tool in acute stroke care and stroke rehabilitation. In the most recent Cochrane systematic review, which included three randomised and 12 non-randomised studies, patient management with stroke care pathways was found to have no significant benefit on functional outcome, and patient satisfaction and quality of life might actually be worse. On the other hand, it was associated with a higher proportion of patients receiving investigations and a lower risk of developing certain complications such as infections and readmissions. Overall, the evidence supports the use of care pathways in acute stroke but not stroke rehabilitation. Future developments, including electronic care pathways, patient pathways, and pre-hospital care pathways for hyperacute stroke, will be discussed. © 2006 Elsevier Ltd. All rights reserved.-
dc.languageeng-
dc.relation.ispartofJournal of Clinical Neuroscience-
dc.titleCare pathways for acute stroke care and stroke rehabilitation: From theory to evidence-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.jocn.2006.01.026-
dc.identifier.pmid17258128-
dc.identifier.scopuseid_2-s2.0-33846374023-
dc.identifier.volume14-
dc.identifier.issue3-
dc.identifier.spage189-
dc.identifier.epage200-
dc.identifier.isiWOS:000244435800001-

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