{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:19:52Z","timestamp":1777533592649,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,7,10]],"date-time":"2016-07-10T00:00:00Z","timestamp":1468108800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate an early home-supported discharge service for stroke patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>We carried out a prospective, randomised, open-label, blinded-endpoint trial (allocation ratio of 1:1) with patients assigned to either an early home-supported discharge service or usual care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>The study was undertaken in Aveiro, Portugal, between April 2009 and April 2013.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects:<\/jats:title>\n                    <jats:p>We included stroke patients aged 25\u201385\u2009years admitted to the stroke unit with an initial Functional Independence Measure of up to 100, who gave informed consent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>Patients in the early home-supported discharge group began their rehabilitation intervention in the stroke unit and the early home-supported discharge team worked with them at home for a maximum of one month. Patients in the control group received usual services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures:<\/jats:title>\n                    <jats:p>The primary outcome measure was the Functional Independence Measure at six months after stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We randomised 190 patients of whom 34 were lost to follow-up. There were no significant differences (p\u2009&gt;\u20090.5) in the average scores of Functional Independence Measure between the early home-supported discharge (69 \u00b122; mean \u00b1SD) and the control groups (71 \u00b117) measured at baseline; and between the early home-supported discharge (107 \u00b120) and the control groups (107 \u00b125) measured at six months. The number of individuals with a low Functional Independence Measure score (&lt;60) in the early home-supported discharge group compared with the control group was higher at admission (34\/95 vs. 26\/95) and lower at follow-up (2\/74 vs. 5\/78).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>It was feasible to implement early home-supported discharge procedures in a Southern European setting, but we have not shown convincing differences in disability at six months.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215515627282","type":"journal-article","created":{"date-parts":[[2016,2,2]],"date-time":"2016-02-02T21:23:51Z","timestamp":1454448231000},"page":"197-206","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Early home-supported discharge for patients with stroke in Portugal: a randomised controlled trial"],"prefix":"10.1177","volume":"31","author":[{"given":"Silvina","family":"Santana","sequence":"first","affiliation":[{"name":"University of Aveiro, Aveiro, Portugal"}]},{"given":"Jos\u00e9","family":"Rente","sequence":"additional","affiliation":[{"name":"Hospital Infante D. Pedro Stroke Unit, Aveiro, Portugal"}]},{"given":"Concei\u00e7\u00e3o","family":"Neves","sequence":"additional","affiliation":[{"name":"Hospital Infante D. Pedro Stroke Unit, Aveiro, Portugal"}]},{"given":"Patr\u00edcia","family":"Redondo","sequence":"additional","affiliation":[{"name":"University of Aveiro, Aveiro, Portugal"}]},{"given":"Nina","family":"Szczygiel","sequence":"additional","affiliation":[{"name":"University of Aveiro, Aveiro, Portugal"}]},{"given":"Torben","family":"Larsen","sequence":"additional","affiliation":[{"name":"University of Southern Denmark, Odense, Denmark"}]},{"given":"Birgitte","family":"Jepsen","sequence":"additional","affiliation":[{"name":"Ringe Neurorehabilitation Unit, University Hospital of Odense, Odense, Denmark"}]},{"given":"Peter","family":"Langhorne","sequence":"additional","affiliation":[{"name":"University of Glasgow, Glasgow, UK"}]}],"member":"179","published-online":{"date-parts":[[2016,7,10]]},"reference":[{"key":"bibr1-0269215515627282","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.31.12.2989"},{"key":"bibr2-0269215515627282","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.110.601153"},{"key":"bibr3-0269215515627282","first-page":"CD000443","author":"Early Supported Discharge Trialists","year":"2005","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr4-0269215515627282","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-0042"},{"key":"bibr5-0269215515627282","doi-asserted-by":"publisher","DOI":"10.1080\/09638280110093677"},{"key":"bibr6-0269215515627282","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afr061"},{"key":"bibr7-0269215515627282","first-page":"CD000443","author":"Fearon P","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr8-0269215515627282","doi-asserted-by":"publisher","DOI":"10.1017\/S0266462306051208"},{"key":"bibr9-0269215515627282","unstructured":"Larsen T, Jaarsma T, Str\u00f6mberg A, Integrated Homecare in Europe for frail elderly somatic patients \u2013 focusing on stroke, heart failure and COPD. A Health Technology Assessment: Deliverable D12 to HOMECARE EU FP7 funded project, http:\/\/static.sdu.dk\/mediafiles\/E\/A\/A\/%7BEAA5D715\u20133B2A-4176\u20139BB7\u20138197D54DE48D%7DHomecare222954_D12_HTAofIHC.pdf (accessed 1 December 2012)."},{"issue":"3","key":"bibr10-0269215515627282","first-page":"25","volume":"13","author":"Opara J","year":"2009","journal-title":"Med Rehabil"},{"key":"bibr11-0269215515627282","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.108.518043"},{"key":"bibr12-0269215515627282","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.989"},{"key":"bibr13-0269215515627282","unstructured":"Lopes M, Mendes F, Escoval A,\n                      Plano Nacional de Sa\u00fade 2011\u20132016\n                      . Cuidados Continuados Integrados, 2010."},{"key":"bibr14-0269215515627282","unstructured":"Nogueira JMA, Henriques JL, Gomes AF, Leit\u00e3o AL. Enquadramento das Unidades de Reabilita\u00e7\u00e3o de AVC. Unidade de Miss\u00e3o para os Cuidados Continuados Integrados, editor2007."},{"key":"bibr15-0269215515627282","doi-asserted-by":"publisher","DOI":"10.12707\/RII0924"},{"key":"bibr16-0269215515627282","unstructured":"Langhorne P, Jepsen BG, P M, Santana S, Early home supported discharge (EHSD) services for stroke patients. A practical problem-based guide linking clinical evidence to clinical rehabilitation: Deliverable D9 to HOMECARE EU FP7 funded project, http:\/\/static.sdu.dk\/mediafiles\/0\/9\/6\/%7B0962B82A-D7FD-4C1B-8972\u20136A496DF63427%7DHOMECARE%20222954_EHSDguide%28D9%29.pdf (accessed 1 December 2011)."},{"key":"bibr17-0269215515627282","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9993(93)90119-U"},{"key":"bibr18-0269215515627282","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.110.606285"},{"key":"bibr19-0269215515627282","volume-title":"A structured review of patient-reported measures in relation to selected chronic conditions, perceptions of quality of care and carer impact","author":"Fitzpatrick R","year":"2006"},{"key":"bibr20-0269215515627282","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/12.2.166"},{"key":"bibr21-0269215515627282","doi-asserted-by":"publisher","DOI":"10.1023\/B:QURE.0000018486.91360.00"},{"key":"bibr22-0269215515627282","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-6296(01)00130-8"},{"key":"bibr23-0269215515627282","first-page":"61","volume":"14","author":"Mahoney FI","year":"1965","journal-title":"MD State Med J"},{"key":"bibr24-0269215515627282","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"bibr25-0269215515627282","unstructured":"IBM Corporation Inc. 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