Article

A systematic review of randomized controlled trials was performed to
evaluate the effectiveness of multidisciplinary care for stroke patients living
in the community. DATA SOURCES: Databases PubMed, EMBASE, CINAHL and the Cochrane
Library from January 1980 until July 2012. Study selection: Randomized controlled
trials focused on multidisciplinary interventions for stroke patients living at
home after hospitalization or inpatient rehabilitation were selected. The outcome
domains were activities of daily living, social participation and quality of
life. A total of 14 studies were included. DATA EXTRACTION: Two authors
independently extracted the data and independently assessed the quality of
reporting of the included studies using the Consolidated Standards of Reporting
Trials (CONSORT) statement 2010. Data synthesis: None of the studies showed
favourable effects of the intervention on activities of daily living and none
assessed social participation. Furthermore, two studies reported favourable
effects of the intervention in terms of quality of life.
These concerned an
intervention combining assessment with follow-up care and a rehabilitation
intervention. CONCLUSION: There is little evidence for the effectiveness of
multidisciplinary care for stroke patients being discharged home. Additional
research should provide more insight into potentially effective multidisciplinary
care for community-living stroke patients.

Langue : ANGLAIS