Literature DB >> 23372584

Determining the need for in-patient rehabilitation services post-stroke: results from eight ontario hospitals.

Deborah Willems1, Katherine Salter, Matthew Meyer, Andrew McClure, Robert Teasell, Norine Foley.   

Abstract

BACKGROUND: The number of patients requiring in-patient rehabilitation services following acute stroke is unknown.
METHODS: All consecutive patients admitted with a diagnosis of stroke to eight community hospitals in southwestern Ontario from May 2008 to December 2009 were screened for in-patient rehabilitation eligibility using the Stroke Rehabilitation Candidacy Screening Tool.
RESULTS: Three hundred ninety-six patients were included, of which 147 (37.1%) were identified as candidates for in-patient rehabilitation. Of these patients, 111 (75%) were discharged to an in-patient rehabilitation unit. The most frequently documented reason that candidates were not transferred was lack of an available bed (n=19). Two hundred forty-nine (62.9%) patients were not considered candidates. The majority (80%) of these patients had experienced either mildly or severely disabling stroke and went home or directly to long-term care upon discharge.
CONCLUSION: The reported estimate of 37% who required in-patient rehabilitation services is important for the purposes of planning and allocation of healthcare resources.

Entities:  

Year:  2012        PMID: 23372584      PMCID: PMC3298025     

Source DB:  PubMed          Journal:  Healthc Policy        ISSN: 1715-6572


  13 in total

1.  Selection criteria for rehabilitation services.

Authors:  Derick T Wade
Journal:  Clin Rehabil       Date:  2003-03       Impact factor: 3.477

2.  Identifying achievable benchmarks of care: concepts and methodology.

Authors:  C I Kiefe; N W Weissman; J J Allison; R Farmer; M Weaver; O D Williams
Journal:  Int J Qual Health Care       Date:  1998-10       Impact factor: 2.038

3.  Interobserver agreement for the assessment of handicap in stroke patients.

Authors:  J C van Swieten; P J Koudstaal; M C Visser; H J Schouten; J van Gijn
Journal:  Stroke       Date:  1988-05       Impact factor: 7.914

4.  Selecting patients for rehabilitation after acute stroke: are there variations in practice?

Authors:  Paul A Ilett; Kim A Brock; Christine J Graven; Susan M Cotton
Journal:  Arch Phys Med Rehabil       Date:  2010-05       Impact factor: 3.966

5.  Disposition after acute stroke: who is not sent home from hospital?

Authors:  S M Lai; M Alter; G Friday; S L Lai; E Sobel
Journal:  Neuroepidemiology       Date:  1998       Impact factor: 3.282

6.  A rehabilitation program for patients recovering from severe stroke.

Authors:  Robert W Teasell; Norine C Foley; Sanjit K Bhogal; Raja Chakravertty; Anna Bluvol
Journal:  Can J Neurol Sci       Date:  2005-11       Impact factor: 2.104

7.  A cost analysis of the first year after stroke - early triage and inpatient rehabilitation may reduce long term costs.

Authors:  M-P Mahler; K Züger; K Kaspar; A Haefeli; W Jenni; T Leniger; J H Beer
Journal:  Swiss Med Wkly       Date:  2008-08-09       Impact factor: 2.193

8.  Destinations of stroke patients discharged from the Montreal area acute-care hospitals.

Authors:  N E Mayo; J Hendlisz; M S Goldberg; N Korner-Bitensky; R Becker; H Coopersmith
Journal:  Stroke       Date:  1989-03       Impact factor: 7.914

Review 9.  Organised inpatient (stroke unit) care for stroke.

Authors: 
Journal:  Cochrane Database Syst Rev       Date:  2007-10-17

10.  Predictors of resource use after acute hospitalization: the Northern Manhattan Stroke Study.

Authors:  T Rundek; H Mast; A Hartmann; B Boden-Albala; L Lennihan; I F Lin; M C Paik; R L Sacco
Journal:  Neurology       Date:  2000-10-24       Impact factor: 9.910

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  3 in total

1.  Stroke Recovery and Rehabilitation Research: Issues, Opportunities, and the National Institutes of Health StrokeNet.

Authors:  Steven C Cramer; Steven L Wolf; Harold P Adams; Daofen Chen; Alexander W Dromerick; Kari Dunning; Caitlyn Ellerbe; Andrew Grande; Scott Janis; Maarten G Lansberg; Ronald M Lazar; Yuko Y Palesch; Lorie Richards; Elliot Roth; Sean I Savitz; Lawrence R Wechsler; Max Wintermark; Joseph P Broderick
Journal:  Stroke       Date:  2017-02-07       Impact factor: 7.914

2.  Education-only versus a multifaceted intervention for improving assessment of rehabilitation needs after stroke; a cluster randomised trial.

Authors:  Elizabeth A Lynch; Dominique A Cadilhac; Julie A Luker; Susan L Hillier
Journal:  Implement Sci       Date:  2016-09-07       Impact factor: 7.327

3.  Patient and service factors associated with referral and admission to inpatient rehabilitation after the acute phase of stroke in Australia and Norway.

Authors:  Angela S Labberton; Mathias Barra; Ole Morten Rønning; Bente Thommessen; Leonid Churilov; Dominique A Cadilhac; Elizabeth A Lynch
Journal:  BMC Health Serv Res       Date:  2019-11-21       Impact factor: 2.655

  3 in total

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