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Supported transitional care applied to stroke survivors: A meta-analysis
Shuyin Liang1, Huiling Xie2, Lili Ye3
1Department of Neurovascular Center, Zhujiang Hospital of Southern Medical University, Guangzhou, China.
Summary
Supported transitional care significantly improved functional status in stroke survivors compared to traditional care. However, this approach did not show significant differences in mortality rates or other key outcomes.
Area of Science:
- Rehabilitation Medicine
- Neurology
- Public Health
Background:
- Stroke survivors often require comprehensive care to manage long-term functional deficits.
- Transitional care models aim to improve patient outcomes and reduce hospital readmissions.
- Early Supported Discharge (ESD) is a specific transitional care intervention designed for stroke patients.
Purpose of the Study:
- To evaluate the effectiveness of supported intervention transitional care versus traditional care for stroke survivors.
- To compare functional status, activities of daily living, caregiver burden, and mortality between the two care groups.
Main Methods:
- A systematic literature review and meta-analysis of randomized clinical trials.
- Included 4,437 stroke patients (2,211 transitional care, 2,226 traditional care).
- Data analyzed using random analysis models for continuous and dichotomous outcomes up to November 2023.
Main Results:
- Supported transitional care significantly improved functional status, as measured by the Barthel index (p = 0.002).
- No significant differences were observed in activities of daily living, Caregiver Strain Index (CSI), or modified Rankin scale (mRS).
- Mortality rates did not differ significantly between the supported transitional care and traditional care groups.
Conclusions:
- Supported transitional care enhances functional status outcomes for stroke survivors.
- This care model does not appear to significantly impact mortality rates.
- Further multicenter studies are recommended to strengthen the evidence base for transitional care interventions in stroke recovery.
