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Communication between home and hospital in the management of acute stroke in the elderly: results from a controlled trial
Murray SK, Garraway WM, Akhtar AJ, Prescott RJ
Health Bulletin 1982 Sep;40(5):214-219
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

A randomised controlled trial which compared the management of elderly patients with acute stroke in a stroke unit and medical units showed that the stroke unit increased the proportion of patients who were returned to functional independence. A grater number of relatives of patients in the stroke unit reported contact with hospital staff. The use of a rehabilitation meeting in the stroke unit was a factor in the higher level of relative/staff contact. In both allocations, the satisfaction expressed by relatives about communication with hospital staff was not related to the amount of contact reported. In the medical units the older relatives expressed greater satisfaction than younger relatives about their communication. The ward sister's role in communicating with relatives was pre-eminent in both allocations.

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