Factors Influencing CVA Patients to Seek Rehabilitative Care

Wylie, Charles M.

doi:10.2307/4592177

Cited by 3 publications

(1 citation statement)

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“…At the time the application forms for admission were received, the patients were in the midst of or had gone through the acute phase of the CVA. Many had delayed their applications until socio‐economic and medical factors had forced them to seek additional help (3). Proportionately fewer applications came from the nonwhite population in the Baltimore area, for reasons that are not clear.…”

Section: Background To This Studymentioning

confidence: 99%

Age and the Rehabilitative Care of Stroke

Wylie

1968

J American Geriatrics Society

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Over a nine‐year period, 1,223 patients with cerebrovascular accidents were admitted to Montebello State Hospital, a chronic disease institution. The findings of this study consistently reflect an adverse influence of rising age on the response of CVA patients to rehabilitation. The older patients (over 65) were more disabled on admission, improved less often while in the hospital and died more often than the younger patients. However, the better response of the younger patients did not reduce their length of stay in the hospital (21–23 weeks). It would be unfair for clinicians to reject for rehabilitation all older patients because of these disadvantages, since our adjustment analysis has shown one way (number of hospital‐weeks of care required to obtain a living and improved patient) in which priorities can be balanced for different age groups. It would be premature, however, to apply these figures widely until larger groups of patients are studied in different rehabilitation centers. This can be done quickly if it is agreed that scientific rather than intuitive guidelines for selecting patients deserve urgent attention.

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Section: Background To This Studymentioning

confidence: 99%