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Efficacy of Transitional Care Services for Patients With Stroke: Systematic Review and Meta-Analysis
Nursing Research
|September 3, 2025
Summary
Transitional care services (TCS) effectively reduce hospital readmissions and improve functional status for stroke survivors. Moderate to high intensity TCS for two months showed the best results for functional recovery.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Health Services Research
Background:
- Stroke survivors often require community-based rehabilitation post-discharge.
- Transitional care services (TCS) aim to ensure treatment continuity and reduce hospital readmissions.
Purpose of the Study:
- To evaluate the efficacy of TCS in stroke patients.
- Assess impact on readmission rates, functional outcomes, self-efficacy, quality of life, and caregiver burden.
Main Methods:
- Systematic review of randomized clinical trials (2014-2023).
- Meta-analysis of primary outcomes (readmission rate, functional status) and secondary outcomes (quality of life, self-efficacy, caregiver burden).
- Subgroup analyses based on intervention intensity, method, and duration.
Main Results:
- TCS significantly reduced readmission rates and improved functional status in stroke patients.
- Patients receiving TCS reported better quality of life, higher self-efficacy, and reduced caregiver burden.
- Moderate to high intensity TCS for 2 months yielded superior functional status improvements.
Conclusions:
- This systematic review synthesizes 10 years of research on TCS efficacy for stroke patients.
- An effective TCS strategy, emphasizing moderate to high intensity for two months, is proposed to enhance functional status.
