Stroke rehabilitation services: systematic reviews of the clinical and economic evidence.

Noorani HZ, Brady B, McGahan L, Teasell R, Skidmore B, Doherty TJ
Record ID 32003000492
English, French
Authors' objectives:

This report aims to examine the clinical and cost effectiveness of four stroke rehabilitation interventions:

- stroke unit care (specialized interdisciplinary teams of physicians and other professional staff caring exclusively for stroke patients) versus care on general medical/geriatric wards (stroke patients are cared for along with patients with other medical conditions);

- impact of different intensities of therapies (varying duration of therapies);

- early support discharge (releasing patients from hospital earlier than usual, using organized interdisciplinary teams to essentially support patients at home) versus usual care; and

- rehabilitation in the community (hospital-based outpatient therapy clinics or home-based therapy) versus usual care.

Authors' recommendations: Stroke patients who receive organized care in a stroke unit are more likely to be alive, independent and living at home after a stroke than those who receive care in a general ward, with some evidence of comparable costs. For patients with mild or moderate disability, early supported discharge services produces greater independence at modestly lower costs compared to usual care. However, no firm conclusions could be drawn regarding the impact of different intensities of rehabilitation, and no significant differences were observed in primary outcomes between home-based rehabilitation and usual care.
Authors' methods: Systematic review
Project Status: Completed
URL for project:
Year Published: 2003
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Canada
MeSH Terms
  • Costs and Cost Analysis
  • Rehabilitation
  • Stroke
Organisation Name: Canadian Coordinating Office for Health Technology Assessment
Contact Address: 600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553, Fax: +1 613 226 5392;
Contact Name:
Contact Email:
Copyright: Canadian Coordinating Office for Health Technology Assessment (CCOHTA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.