Implementation and evaluation of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: a feasibility study

Introduction: Stroke is the leading cause of death and adult disability in Canada. Up to 80% of older adults (>65 years) who have suffered a stroke will return to their homes, and 60% will require ongoing rehabilitation in the community. The transition between hospital and home is very challenging, particularly for those with comorbidities. Little is known about the core elements for successful care transitions specifically for older adults …