| Methods |
Uncontrolled before‐and‐after study. Retrospective data collection. |
| Participants |
1236 patients from 1994‐1997 (but CP was phased‐in gradually from 1995‐1996 so only data for 1997 were used here). Total number of patients included 546 (375 in CP group in 1997, 171 in 'before' group in 1994). Excluded patients who had stroke >30 days ago and whose LOS was >30 days (i.e. those waiting for placement). |
| Interventions |
TREATMENT GROUP: Integrated Delivery Model of Care (IDMC) includes use of collaborative care maps, MDTs in patient assessment, care and discharge; integrated documentation of patient goals and progress; "cross‐functional training" of rehab technicians; integrated patient and carer education. CONTROL GROUP: Undefined patient care in 1994; ICP phased in from 1995 to improve rehab care and reduce LOS. |
| Outcomes |
Mean LOS (days): CP=15.6+/‐6.2 vs Before=18+/‐6.6. Discharge home: CP=320/375 vs Before=147/171. Discharge nursing home: CP=42/375 vs Before=15/171. FIM on discharge: CP=87.4+/‐18.7 vs Before=91+/‐22. FIM change from admission to discharge (SD): CP=22.7+/‐11.9 vs Before=30.9+/‐15.8. |
| Notes |
Stroke rehabilitation. Unclear difference between care map and standard care. Groups similar except ICP group had a higher level of independence on admission: FIM on admission (SD): CP=64.6+/‐16.7 vs Before=60.1+/‐16.8. Unreliable data for co‐morbidities due to coding inaccuracies. |
| Risk of bias |
| Bias |
Authors' judgement |
Support for judgement |
| Allocation concealment? |
Unclear risk |
D ‐ Not used |
