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 |