Controlled trial of a home-care service for acute stroke patients

Lancet. 1985 Feb 9;1(8424):323-6. doi: 10.1016/s0140-6736(85)91091-8.


In a controlled trial of a home-care service available for the first 6 months after acute stroke, 440 patients received the new service and 417 patients were in the control group. The trial group used more hospital bed days, had a slightly higher admission rate, and did not show better emotional adjustment to stroke than the control group. There was no difference between the 2 groups in stress on relatives. Functional recovery was equal in the 2 groups. A quarter of patients managed at home in each group were severely disabled. Providing a new service does not necessarily alter clinical decisions in the short term, and care should be taken before expanding domiciliary services to reduce hospital use.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Aged
  • Cerebrovascular Disorders / nursing*
  • Cerebrovascular Disorders / psychology
  • Clinical Trials as Topic
  • Home Care Services* / statistics & numerical data
  • Hospitalization
  • Humans
  • Length of Stay
  • Middle Aged