Review of Foreign Literature on Discharge Planning for Stroke Patients and Readmission Rates

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  • 脳卒中患者の退院支援と再入院率に関する国外文献レビュー

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<p>Objective: This study aimed to develop care strategies that can be incorporated into discharge planning for stroke patients in Japan by reviewing relevant foreign studies. Methods: We conducted web searches via PubMed using the keywords “discharge planning,” “stroke or cerebrovascular accident or cva,” “readmission or rehospitalization,” and “nurse,” and selected pertinent papers based on inclusion/exclusion criteria. Results: Interventional studies on discharge planning for stroke patients have been conducted in various countries and regions. We included six papers and found that all these studies focused on the prevention of recurrent strokes. Discharge planning approaches specific to stroke patients included: education on preventing recurrent strokes, coordination of social resources, and assessment of caregivers. As an outcome of the discharge planning programs, readmission rates decreased, though the decrease was not statistically significant in most cases. Conclusions: To support stroke patients in communities, educating caregivers is vital for preventing recurrences. Additionally, as part of community-based support for these patients and their families, establishing appropriate channels of communication is essential.</p>

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