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Olson DWM, Bettger JP, Alexander KP, et al. Transition of Care for Acute Stroke and Myocardial Infarction Patients: From Hospitalization to Rehabilitation, Recovery, and Secondary Prevention. Rockville (MD): Agency for Healthcare Research and Quality (US); 2011 Oct. (Evidence Reports/Technology Assessments, No. 202.)

  • This publication is provided for historical reference only and the information may be out of date.

This publication is provided for historical reference only and the information may be out of date.

Cover of Transition of Care for Acute Stroke and Myocardial Infarction Patients

Transition of Care for Acute Stroke and Myocardial Infarction Patients: From Hospitalization to Rehabilitation, Recovery, and Secondary Prevention.

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Appendix CList of Included Studies

  1. Allen K, Hazelett S, Jarjoura D, et al. A randomized trial testing the superiority of a postdischarge care management model for stroke survivors. J Stroke Cerebrovasc Dis. 2009;18(6):443–52. [PMC free article: PMC2802837] [PubMed: 19900646]
  2. Allen KR, Hazelett S, Jarjoura D, et al. Effectiveness of a postdischarge care management model for stroke and transient ischemic attack: a randomized trial. J Stroke Cerebrovasc Dis. 2002;11(2):88–98. [PubMed: 17903862]
  3. Andersen HE, Eriksen K, Brown A, et al. Follow-up services for stroke survivors after hospital discharge--a randomized control study. Clin Rehabil. 2002;16(6):593–603. [PubMed: 12392333]
  4. Andersen HE, Schultz-Larsen K, Kreiner S, et al. Can readmission after stroke be prevented? Results of a randomized clinical study: a postdischarge follow-up service for stroke survivors. Stroke. 2000;31(5):1038–45. [PubMed: 10797163]
  5. Askim T, Morkved S, Indredavik B. Does an extended stroke unit service with early supported discharge have any effect on balance or walking speed? J Rehabil Med. 2006;38(6):368–74. [PubMed: 17067970]
  6. Askim T, Rohweder G, Lydersen S, et al. Evaluation of an extended stroke unit service with early supported discharge for patients living in a rural community. A randomized controlled trial. Clin Rehabil. 2004;18(3):238–48. [PubMed: 15137554]
  7. Ayana M, Pound P, Lampe F, et al. Improving stroke patients’ care: a patient held record is not enough. BMC Health Serv Res. 2001;1(1):1. [PMC free article: PMC32174] [PubMed: 11257719]
  8. Bambauer KZ, Aupont O, Stone PH, et al. The effect of a telephone counseling intervention on self-rated health of cardiac patients. Psychosom Med. 2005;67(4):539–45. [PubMed: 16046365]
  9. Barlow JH, Turner AP, Gilchrist M. A randomised controlled trial of lay-led self-management for myocardial infarction patients who have completed cardiac rehabilitation. Eur J Cardiovasc Nurs. 2009;8(4):293–301. [PubMed: 19261545]
  10. Bautz-Holtert E, Sveen U, Rygh J, et al. Early supported discharge of patients with acute stroke: a randomized controlled trial. Disabil Rehabil. 2002;24(7):348–55. [PubMed: 12022784]
  11. Boter H. Multicenter randomized controlled trial of an outreach nursing support program for recently discharged stroke patients. Stroke. 2004;35(12):2867–72. [PubMed: 15514186]
  12. Claiborne N. Effectiveness of a care coordination model for stroke survivors: a randomized study. Health Soc Work. 2006;31(2):87–96. [PubMed: 16776026]
  13. Clark MS, Rubenach S, Winsor A. A randomized controlled trial of an education and counselling intervention for families after stroke. Clin Rehabil. 2003;17(7):703–12. [PubMed: 14606735]
  14. Costa e Silva R, Pellanda L, Portal V, et al. Transdisciplinary approach to the follow-up of patients after myocardial infarction. Clinics (Sao Paulo). 2008;63(4):489–96. [PMC free article: PMC2664125] [PubMed: 18719760]
  15. Donnelly M, Power M, Russell M, et al. Randomized controlled trial of an early discharge rehabilitation service: the Belfast Community Stroke Trial. Stroke. 2004;35(1):127–33. [PubMed: 14671238]
  16. Eagle KA, Montoye CK, Riba AL, et al. Guideline-based standardized care is associated with substantially lower mortality in medicare patients with acute myocardial infarction: the American College of Cardiology’s Guidelines Applied in Practice (GAP) Projects in Michigan. J Am Coll Cardiol. 2005;46(7):1242–8. [PubMed: 16198838]
  17. Ertel KA, Glymour MM, Glass TA, et al. Frailty modifies effectiveness of psychosocial intervention in recovery from stroke. Clin Rehabil. 2007;21(6):511–22. [PubMed: 17613582]
  18. Fjaertoft H, Indredavik B, Johnsen R, et al. Acute stroke unit care combined with early supported discharge. Long-term effects on quality of life. A randomized controlled trial. Clin Rehabil. 2004;18(5):580–6. [PubMed: 15293492]
  19. Fjaertoft H, Indredavik B, Lydersen S. Stroke unit care combined with early supported discharge: long-term follow-up of a randomized controlled trial. Stroke. 2003;34(11):2687–91. [PubMed: 14576376]
  20. Fjaertoft H, Indredavik B, Magnussen J, et al. Early supported discharge for stroke patients improves clinical outcome. Does it also reduce use of health services and costs? One-year follow-up of a randomized controlled trial. Cerebrovasc Dis. 2005;19(6):376–83. [PubMed: 15860914]
  21. Gallagher R, McKinley S, Dracup K. Effects of a telephone counseling intervention on psychosocial adjustment in women following a cardiac event. Heart Lung. 2003;32(2):79–87. [PubMed: 12734530]
  22. Geddes JM, Chamberlain MA. Home-based rehabilitation for people with stroke: a comparative study of six community services providing co-ordinated, multidisciplinary treatment. Clin Rehabil. 2001;15(6):589–99. [PubMed: 11777089]
  23. Glass TA, Berkman LF, Hiltunen EF, et al. The Families In Recovery From Stroke Trial (FIRST): primary study results. Psychosom Med. 2004;66(6):889–97. [PubMed: 15564354]
  24. Grasel E, Biehler J, Schmidt R, et al. Intensification of the transition between inpatient neurological rehabilitation and home care of stroke patients. Controlled clinical trial with follow-up assessment six months after discharge. Clin Rehabil. 2005;19(7):725–36. [PubMed: 16250191]
  25. Grasel E, Schmidt R, Biehler J, et al. Long-term effects of the intensification of the transition between inpatient neurological rehabilitation and home care of stroke patients. Clin Rehabil. 2006;20(7):577–83. [PubMed: 16894800]
  26. Hall JP, Wiseman VL, King MT, et al. Economic evaluation of a randomised trial of early return to normal activities versus cardiac rehabilitation after acute myocardial infarction. Heart Lung Circ. 2002;11(1):10–8. [PubMed: 16352063]
  27. Hanssen TA, Nordrehaug JE, Eide GE, et al. Improving outcomes after myocardial infarction: a randomized controlled trial evaluating effects of a telephone follow -up intervention. Eur J Cardiovasc Prev Rehabil. 2007;14(3):429–37. [PubMed: 17568244]
  28. Hanssen TA, Nordrehaug JE, Eide GE, et al. Does a telephone follow-up intervention for patients discharged with acute myocardial infarction have long-term effects on health-related quality of life? A randomised controlled trial. J Clin Nurs. 2009;18(9):1334–45. [PubMed: 19220616]
  29. Ho PM, Luther SA, Masoudi FA, et al. Inpatient and follow-up cardiology care and mortality for acute coronary syndrome patients in the Veterans Health Administration. Am Heart J. 2007;154(3):489–94. [PubMed: 17719295]
  30. Hoffmann T, McKenna K, Worrall L, et al. Randomised trial of a computer-generated tailored written education package for patients following stroke. Age Ageing. 2007;36(3):280–6. [PubMed: 17360794]
  31. Holmqvist LW, von Koch L, de Pedro-Cuesta J. Use of healthcare, impact on family caregivers and patient satisfaction of rehabilitation at home after stroke in southwest Stockholm. Scand J Rehabil Med. 2000;32(4):173–9. [PubMed: 11201624]
  32. Indredavik B, Fjaertoft H, Ekeberg G, et al. Benefit of an extended stroke unit service with early supported discharge: A randomized, controlled trial. Stroke. 2000;31(12):2989–94. [PubMed: 11108761]
  33. Johnston M, Bonetti D, Joice S, et al. Recovery from disability after stroke as a target for a behavioural intervention: results of a randomized controlled trial. Disabil Rehabil. 2007;29(14):1117–27. [PubMed: 17612998]
  34. Joubert J, Joubert L, Reid C, et al. The positive effect of integrated care on depressive symptoms in stroke survivors. Cerebrovasc Dis. 2008;26(2):199–205. [PubMed: 18628619]
  35. Joubert J, Reid C, Barton D, et al. Integrated care improves risk-factor modification after stroke: initial results of the Integrated Care for the Reduction of Secondary Stroke model. J Neurol Neurosurg Psychiatry. 2009;80(3):279–84. [PubMed: 19010943]
  36. Joubert J, Reid C, Joubert L, et al. Risk factor management and depression post-stroke: the value of an integrated model of care. J Clin Neurosci. 2006;13(1):84–90. [PubMed: 16410202]
  37. Kotowycz MA, Cosman TL, Tartaglia C, et al. Safety and feasibility of early hospital discharge in ST-segment elevation myocardial infarction--a prospective and randomized trial in low-risk primary percutaneous coronary intervention patients (the Safe-Depart Trial). Am Heart J. 2010;159(1):117 e1–6. [PubMed: 20102876]
  38. Kovoor P, Lee AK, Carrozzi F, et al. Return to full normal activities including work at two weeks after acute myocardial infarction. Am J Cardiol. 2006;97(7):952–8. [PubMed: 16563893]
  39. Lacey EA, Musgrave RJ, Freeman JV, et al. Psychological morbidity after myocardial infarction in an area of deprivation in the UK: evaluation of a self-help package. Eur J Cardiovasc Nurs. 2004;3(3):219–24. [PubMed: 15350231]
  40. Luszczynska A. An implementation intentions intervention, the use of a planning strategy, and physical activity after myocardial infarction. Soc Sci Med. 2006;62(4):900–8. [PubMed: 16095786]
  41. Mant J, Carter J, Wade DT, et al. Family support for stroke: a randomised controlled trial. Lancet. 2000;356(9232):808–13. [PubMed: 11022928]
  42. Mant J, Winner S, Roche J, et al. Family support for stroke: one year follow up of a randomised controlled trial. J Neurol Neurosurg Psychiatry. 2005;76(7):1006–8. [PMC free article: PMC1739696] [PubMed: 15965213]
  43. Mayo NE, Nadeau L, Ahmed S, et al. Bridging the gap: the effectiveness of teaming a stroke coordinator with patient’s personal physician on the outcome of stroke. Age Ageing. 2008;37(1):32–8. [PubMed: 18006510]
  44. Mayo NE, Wood-Dauphinee S, Cote R, et al. There’s no place like home : an evaluation of early supported discharge for stroke. Stroke. 2000;31(5):1016–23. [PubMed: 10797160]
  45. Mayou RA, Thompson DR, Clements A, et al. Guideline-based early rehabilitation after myocardial infarction. A pragmatic randomised controlled trial. J Psychosom Res. 2002;52(2):89–95. [PubMed: 11832254]
  46. Oranta O, Luutonen S, Salokangas RK, et al. The outcomes of interpersonal counselling on depressive symptoms and distress after myocardial infarction. Nord J Psychiatry. 2010;64(2):78–86. [PubMed: 19919291]
  47. Petrie KJ, Cameron LD, Ellis CJ, et al. Changing illness perceptions after myocardial infarction: an early intervention randomized controlled trial. Psychosom Med. 2002;64(4):580–6. [PubMed: 12140347]
  48. Ricauda NA, Bo M, Molaschi M, et al. Home hospitalization service for acute uncomplicated first ischemic stroke in elderly patients: a randomized trial. J Am Geriatr Soc. 2004;52(2):278–83. [PubMed: 14728641]
  49. Robertson K, Kayhko K, Kekki P. A supportive-education home follow-up programme for post MI patients. J Community Nurs. 2003;17(6):4.
  50. Robertson KA, Kayhko K. Cost analysis of an intensive home follow-up program for first-time post-myocardial infarction patients and their families. Dynamics. 2001;12(4):25–31. [PubMed: 11845484]
  51. Rogers AM, Ramanath VS, Grzybowski M, et al. The association between guideline-based treatment instructions at the point of discharge and lower 1-year mortality in Medicare patients after acute myocardial infarction: the American College of Cardiology’s Guidelines Applied in Practice (GAP) initiative in Michigan. Am Heart J. 2007;154(3):461–9. [PubMed: 17719291]
  52. Sahebalzamani M, Aliloo L, Shakibi A. The efficacy of self-care education on rehabilitation of stroke patients. Saudi Med J. 2009;30(4):550–4. [PubMed: 19370286]
  53. Sinclair AJ, Conroy SP, Davies M, et al. Post-discharge home-based support for older cardiac patients: a randomised controlled trial. Age Ageing. 2005;34(4):338–43. [PubMed: 15955757]
  54. Sulch D, Evans A, Melbourn A, et al. Does an integrated care pathway improve processes of care in stroke rehabilitation? A randomized controlled trial. Age Ageing. 2002;31(3):175–9. [PubMed: 12006305]
  55. Sulch D, Melbourn A, Perez I, et al. Integrated care pathways and quality of life on a stroke rehabilitation unit. Stroke. 2002;33(6):1600–4. [PubMed: 12052998]
  56. Sulch D, Perez I, Melbourn A, et al. Randomized controlled trial of integrated (managed) care pathway for stroke rehabilitation. Stroke. 2000;31(8):1929–34. [PubMed: 10926959]
  57. Teng J, Mayo NE, Latimer E, et al. Costs and caregiver consequences of early supported discharge for stroke patients. Stroke. 2003;34(2):528–36. [PubMed: 12574571]
  58. Torp CR, Vinkler S, Pedersen KD, et al. Model of hospital-supported discharge after stroke. Stroke. 2006;37(6):1514–20. [PubMed: 16645132]
  59. Torres-Arreola Ldel P, Doubova Dubova SV, Hernandez SF, et al. Effectiveness of two rehabilitation strategies provided by nurses for stroke patients in Mexico. J Clin Nurs. 2009;18(21):2993–3002. [PubMed: 19821873]
  60. von Koch L, de Pedro-Cuesta J, Kostulas V, et al. Randomized controlled trial of rehabilitation at home after stroke: one-year follow-up of patient outcome, resource use and cost. Cerebrovasc Dis. 2001;12(2):131–8. [PubMed: 11490107]
  61. von Koch L, Holmqvist LW, Wottrich AW, et al. Rehabilitation at home after stroke: a descriptive study of an individualized intervention. Clin Rehabil. 2000;14(6):574–83. [PubMed: 11128731]
  62. Young W, Rewa G, Goodman SG, et al. Evaluation of a community-based inner-city disease management program for postmyocardial infarction patients: a randomized controlled trial. CMAJ. 2003;169(9):905–10. [PMC free article: PMC219623] [PubMed: 14581307]

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