Effectiveness of interventions to support the transition home after acute stroke: a protocol for a systematic review [version 2; peer review: 2 approved]
Background
Despite advances in the quality of acute stroke
management, there are gaps in knowledge about effective support interventions
to better manage the transition of care to home for patients with this complex
condition. The goal of this systematic review is to explore the
literature around support interventions available for patients as they navigate
from acute hospital, rehabilitation or early supported discharge (ESD) services
to independent living at home; and to establish if, in comparison with
usual care or other comparative active interventions, support services offered
to patients as they transition from acute hospital, inpatient
rehabilitation/ESD to home, can achieve better patient and / or process
outcomes.
Protocol
In June 2021, we will carry out, on electronic
peer-reviewed databases, a comprehensive literature search based on a
pre-defined search strategy, developed and conducted in collaboration with an
Information Specialist. In an effort to identify all published
trials we will perform citation tracking of included studies, check reference
lists of relevant articles, review grey literature, and extend our search to
google scholar.
We will include randomised controlled trials
(including cluster and quasi-randomisation) recruiting stroke patients
transitioning to home, to receive either usual care or any support intervention
designed to improve outcomes after stroke.
The primary clinical outcome will be functional
status. Two review authors will scrutinise trials, categorise them on
their eligibility, and extract data. We will analyse the results for all trials
and perform meta-analyses where possible. We will assess risk of bias for
the included trials and use GRADE to assess the quality of the body of evidence.
Patient and public involvement (PPI) engaged
in the development of the research questions, and will participate in co-design
of a strategy for dissemination of findings.
Conclusions: The findings from this review will be used to
identify knowledge gaps to direct future research
Funding
Health Research Board Ireland (CDA-2019-004)
History
Comments
The original article and an updated version may be available on https://hrbopenresearch.org/Published Citation
O'Callaghan G.et al. Effectiveness of interventions to support the transition home after acute stroke: a protocol for a systematic review [version 2; peer review: 2 approved]. HRB Open Res 2022, 4:105Publication Date
11 March 2022External DOI
PubMed ID
35224442Department/Unit
- School of Physiotherapy
- Library
Research Area
- Population Health and Health Services
Publisher
F1000 Research LtdVersion
- N/A