Aging, Community and Health Research Group (ACHRU)

McMaster University

News

Optimizing hospital-to-home transitions for older adults with stroke and multimorbidity: A pragmatic trial of an outpatient-based virtual transitional care intervention

Researchers from the Aging, Community and Health Research Unit are aiming to improve the quality and experience of transitions from hospital-to-home for older adults (≥ 55 years) with stroke and multimorbidity and their family caregivers.

Stroke is the leading cause of death and adult disability in Canada. Up to 80% of older adults (≥ 55 years) who have suffered a stroke will return to their homes, and 60% will require ongoing rehabilitation in the community. Approximately 92% of older adults with stroke have at least two comorbid conditions and 75% have three or more. These patients have high levels of ongoing care needs, and frequently transition between providers and care settings and are susceptible to fragmented health care.

This Optimizing hospital-to-home transitions for older adults with stroke and multimorbidity: A pragmatic trial of an outpatient-based virtual transitional care intervention, is delivered by an interprofessional (IP) team of outpatient providers including a Registered Nurse, Occupational Therapist, Physiotherapist, Social Worker, and Speech Language Pathologist in addition to usual healthcare.

Researchers expect the 6-month intervention will reduce the number of hospital readmissions (for any cause) by improving the quality and experience of transitions from hospital-to-home.

Click here to read the research summary

Published on: May 26, 2021

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