Neurology and Neurotherapeutics, University of Texas Southwestern, 5323 Harry Hines Boulevard, Dallas, TX 75390-8897, USA.
Physical Medicine and Rehabilitation, University of Texas Southwestern, 5323 Harry Hines Boulevard, Dallas, TX 75390-9055, USA.
Nurs Clin North Am. 2019 Sep;54(3):385-397. doi: 10.1016/j.cnur.2019.04.007. Epub 2019 Jun 8.
Advances in stroke detection and treatment have increased the number of patients discharged home following an index stroke admission. Unfortunately, the science of how to facilitate transition of care (TOC) from hospital to home has not kept pace with decades-long focus on restoring cerebral perfusion. This article examines TOC interventions in stroke populations published after the 2011 Agency for Healthcare Research and Quality report. Early supported discharge is the leading TOC intervention. Diversity of outcome measures and use of poorly defined comparators limits generalizability. There is no clear best practice to define interventions targeted at the hospital to home transition.
中风检测和治疗的进展增加了索引中风入院后出院回家的患者数量。不幸的是，促进从医院到家庭的护理过渡（TOC）的科学并没有跟上数十年来专注于恢复脑灌注的步伐。本文研究了 2011 年美国医疗保健研究与质量局报告发布后的中风人群中的 TOC 干预措施。早期支持出院是主要的 TOC 干预措施。由于结果衡量标准的多样性和使用定义不明确的对照组，限制了其普遍性。目前尚无明确的最佳实践来定义针对医院到家庭过渡的干预措施。
