Article for Review
English, C., Shields, N., Brusco, N.K., et al. (2016). Additional
weekend therapy may reduce length of rehabilitation stay after stroke: A
meta-analysis of individual patient data. Journal
of Physiotherapy 62(3), 124-129.
This individual patient data meta-analysis aimed to
investigate the effectiveness of providing additional weekend therapy services
(PT and/or OT) to people with stroke, compared to usual care in an inpatient rehabilitation
setting. Pooled analysis was completed for two randomized controlled trials,
one in which participants received additional therapy on Saturdays, and another
in which participants received additional therapy on Saturdays and Sundays.
Conclusion:
Unadjusted pooling of individual patient data from
existing trials does not identify a significant improvement in length of stay.
When the analyses were adjusted for important patient-related factors and
hospital site, there was significantly shorter average length of stay in the
rehabilitation hospital for people receiving additional weekend therapy.
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