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Early supported discharge_for_stroke
- 3. Benefits of stroke treatment www.ist3.com Number treated per year Benefit per 1000 treated Number who avoid death or dependency Aspirin 80% 104000 13 1350 Stroke Unit 60% 78000 56 4370 Thrombolysis 2% 2080 63 130 Thrombolysis 30% 31200 47 1470
- 7. Characteristics of ESD Lancet 2005; 365: 501
- 11. Other Outcomes
- 14. Results Month No. referrals Average LOS Bartel Average ESD Intervention time May 6 6 15 39 days June 9 6 13 48 days + July 8 4 17 August 12 3 18
Notes de l'éditeur
- It was also agreed that the annual cost of the ESD team should be less or equal to the annual savings made by a reduction in length of stay in hospital. SPOC Gillian Stroke association – pathway thing
- SPOC attending weekly ward round – where patients are indentified Single point of access mobile so information can be transferred to the CST Assessing patients with the key worker from the ASU with SW involvement Some times joint sessions OT to OT Physio to Physio for difficult patients – maybe on HV Attending FM if important or if time Joint DC planning – using RSW or carers to deliver care CST taking patient home on day of discharge to settle them in Documentation & verbal handover Service is dependent on what patient needs Communication with acute staff about what patient needs and what CST can offer
- May June July Aug Number referrals Average LOS Bartel Perceived amount of time Difference between
- Re: being seen by the same therapists: It was important for me to be seen by the same people – they were the ones that knew me” “ People are nicer when they know you from before” “ It was good to be able to communicate with the same people; responding to questions” (carer) Re: feeling ready for discharge home: “ I knew I wasn’t going to get anymore treatment in hospital – I knew I would be happier at home”