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. 2004 Oct 18;2004(4):CD002924. doi: 10.1002/14651858.CD002924.pub2

Widjaja 2002.

Methods Uncontrolled before‐and‐after study. Prospective data collection.
Participants 257 patients with all types of stroke ‐ CP group 125, 'before' group 132.
Interventions TREATMENT GROUP: Stroke pathway care from April to June 2001: undefined stroke pathway care; variances collected prospectively and daily from multiple sources; other outcome data collected on discharge; Head of Neurology Division discussed variance findings with MDT and followed up with corrective actions during weekly ward rounds. CONTROL GROUP: undefined patient care from April to June 2000; CP introduced as a method for cost‐containment.
Outcomes Mean LOS (days): CP=9.7 vs Before=16.4 (p<0.001). In‐hospital mortality: CP=7/125 vs Before=16/132 (p=0.07). UTI: CP=16/125 vs Before=22/132 (p=0.38). Pneumonia: CP=10/125 vs Before=13/132 (p=0.6). Weak evidence of reduced delay to CT scan and discharge to "step‐down" facilities.
Notes Acute stroke and rehabilitation. Data collection incomplete in the control group. Groups similar in characteristics. Unclear difference between CP and standard care.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk D ‐ Not used