The effectiveness of inpatient stroke rehabilitation. v.2.0

  • Research type

    Research Study

  • Full title

    Effectiveness of inpatient stroke rehabilitation in reducing dependency and costs of continuing care for adults following stroke. A pilot case series.

  • IRAS ID

    241081

  • Contact name

    Frances Riley

  • Contact email

    ntxfr4@nottingham.ac.uk

  • Sponsor organisation

    University of Nottingham

  • Duration of Study in the UK

    0 years, 4 months, 1 days

  • Research summary

    Research question:
    Cost effectiveness of inpatient stroke rehabilitation in reducing dependency and costs of continuing care for adults following stroke.

    Why?
    It is estimated that over 1.2 million people suffer a stroke in the UK every year, leading to £1.7 billion in costs for the health and social care. Previous research from the specialist neurological inpatient rehabilitation setting, for example those with head injury, has shown that by providing specialist rehabilitation the initial rehabilitation costs are offset by the savings to care. It is unclear due to the different rehabilitation environment whether this is transferable to the stroke rehabilitation environment.

    What?
    Being studied is acute (inpatient) stroke rehabilitation and the cost efficiency of this using a database. The database used collects information about individual patient rehabilitation stays within specialist inpatient neurological units across NHS England. This database has an in-built algorithm which converts outcome measures into a money form, providing the cost of care before and after rehabilitation.

    Who would be eligible?
    Participants will include those who are admitted into the Hyper-acute stroke unit with their first confirmed stroke, who are for rehabilitation and have capacity to consent. Patients in which lived in a care home or had four care calls a day will be excluded.

    Where?
    All case studies will be from Nottingham University Hospitals - City Hospital, stroke wards and outlying wards.

    Duration?
    Participants will undergo rehabilitation as part of the usual service, therefore there will be individual differences in length of participation, it is likely to be between 2 weeks and 12 weeks.

    What will participation involve?
    Four additional outcome measures (tests) will be collected in conjunction with current practise data, no change to rehabilitation will occur. These are the Functional Independence Measure and the Northwick Park Dependency Score. These will be completed up to four times.

  • REC name

    West Midlands - Solihull Research Ethics Committee

  • REC reference

    18/WM/0134

  • Date of REC Opinion

    15 May 2018

  • REC opinion

    Favourable Opinion