Trondheim 1991.
Study characteristics | ||
Methods | RCT | |
Participants | People with stroke within 7 days (usually within 24 hours) of stroke onset Exclusion of deeply unconscious patients and those previously residing in a nursing home | |
Interventions | Comprehensive stroke ward (dedicated stroke unit) (n = 110) vs general medical ward (n = 110) Organised care provided for a maximum of 6 weeks | |
Outcomes | Death, Barthel Index, place of residence, length of stay in hospital or institution up to 1 year after stroke | |
Notes | ‐ | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "Randomly assigned ... using serially numbered sealed envelopes" |
Allocation concealment (selection bias) | Low risk | "Serially numbered sealed envelopes" |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Difficult to conceal |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Both blinded and open assessments available for 50% of participants at 52 weeks; open assessments available for only 50% Correlation between blinded and open was high, but risk of bias remains unclear |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No missing outcome data |
Selective reporting (reporting bias) | Low risk | All pre‐specified outcomes reported |
ADL: activity of daily living. CT: computerised tomography. FIM: Functional Independence Measure. GMW: general medical ward. ITT: intention‐to‐treat. LOS: length of stay. mRS: modified Rankin Scale. MRW: mixed rehabilitation ward. NIHSS: National Institutes of Health Stroke Scale. OHS: Oxford Handicap Scale. RCT: randomised controlled trial. SD: standard deviation. SPSS: Statistical Package for the Social Sciences. TIA: transient ischaemic attack. WHO: World Health Organization.