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. 2020 Apr 23;2020(4):CD000197. doi: 10.1002/14651858.CD000197.pub4

Dover 1984 (GMW).

Study characteristics
Methods RCT
Subgroup of Dover 1984 (stroke unit vs general medical ward)
Participants People with stroke up to 9 weeks after stroke onset (majority within 3 weeks)
Fit for transfer to rehabilitation ward
Interventions Stroke rehabilitation ward (dedicated stroke unit) (n = 98) vs general medical ward (n = 89)
Organised care provided for months if required
Outcomes Death, Rankin score, place of residence, length of stay in hospital up to 1 year after stroke
Notes Stroke severity subgroup data inferred from distribution in the whole group
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "Random allocation ... by the secretary opening the next in a stack of serially numbered sealed envelopes"
Allocation concealment (selection bias) Low risk Adequate allocation concealment
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Difficult to conceal
Blinding of outcome assessment (detection bias)
All outcomes High risk Unblinded outcome assessment
Incomplete outcome data (attrition bias)
All outcomes Low risk Missing outcome data explained; broadly similar numbers between intervention and control groups
Selective reporting (reporting bias) Unclear risk Rankin score pre‐specified but not reported
Disability reported in an alternate way