Wilkinson 2000.
Methods | Uncontrolled before‐and‐after study. Retrospective data collection. | |
Participants | 275 stroke episodes ‐ CP group 142, 'before' group 133. | |
Interventions | TREATMENT GROUP: Stroke pathway introduced in 1997 but pathway care poorly defined. CONTROL GROUP: Undefined patient care before July 1997; patient admitted via Emergency Department to acute medical ward for 2‐3 days, then transferred to post‐acute medical ward, then referred to rehabilitation if necessary; poor documentation; variable LOS; CP introduced as a method for cost‐containment and improvement of outcome. | |
Outcomes | Mean LOS (days): CP=5.8 vs Before=10.6. | |
Notes | Acute stroke. Lack of clear data made summarisation difficult. No data on baseline characteristics. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment? | Unclear risk | D ‐ Not used |
CC: concurrent control CP: care pathway CT: computed tomography CXR: chest x‐ray DRG: diagnostic related groups DVT: deep vein thrombosis ECG: electrocardiogram EEG: electroencephalogram FIM: functional independence measure GMW: general medical ward IQR: interquatile range IV: intravenous LOS: length of stay (in hospital) LP: lumbar puncture MDT: multidisciplinary team MI: myocardial infarction MRA: magnetic resonance angiography n: number of patients NS: non‐significant (statistical) OT: occupational therapy PEG: percutaneous endoscopic gastrostomy PT: physiotherapy SAH: subarachnoid haemorrhage SALT: speech and language therapy TEDS: thrombo‐embolism deterrent stockings TIA: transient ischaemic attack UTI: urinary tract infection vs: versus $: US dollar (cost per patient) +/‐: plus or minus one standard deviation