Ideal timing to transfer from an acute care hospital to an interdisciplinary inpatient rehabilitation program following a stroke: an exploratory study

Gagnon, Dany H.; Nadeau, Sylvie; Tam, Vincent K.H

doi:10.1186/1472-6963-6-151

Cited by 21 publications

(21 citation statements)

References 37 publications

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“…This support the possibility that patients selection for rehabilitation, requiring clinical stability and exercises tolerance that leading to exclusion of the most severely ill, with low optional for complications occurrence, which minimizes their impact on the functional outcome. This finding corresponds with results of [9,11]. However, contrasts studies of [26,28,41].…”

Section: Discussionsupporting

confidence: 86%

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Predictors of functional outcome in Saudi Arabian patients with stroke after inpatient rehabilitation

Abdul-Sattar

Godab

2013

NRE

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PURPOSE: To identify the possible factors influencing functional outcome of stroke patients after inpatient rehabilitation. METHODS: One hundred and eighty patients with stroke consecutively admitted for inpatient stroke rehabilitation was studied. Demographic and stroke characteristics, impairment (National Institutes of Health Stroke Scale), disability level (Functional Independence Measure [FIM]), psycho-emotional state (Geriatric Depression Scale-15 [GDS-15]), cognitive function (Mini Mental State Evaluation [MMSE]), and preexisting medical conditions were recorded at admission. The main measure of functional outcome was the discharge FIM score. The univariate and multiple linear regression analyses were performed. RESULT:The Mean admission total FIM score was 64.8 ± 22.4 and the mean discharge total FIM score was 84.0 ± 23.0, with this gain being highly significant (P < 0.001). Univariate analyses indicated that the significant factors influencing functional outcome of stroke patients at discharge from rehabilitation included age, total FIM score at admission, severity of stroke, recurrent stroke, cognitive impairment, and depression. However, in multiple linear regression analyses, age was not significant predictor. CONCLUSION: Age predicts the function outcome to lesser extent than other covariate. The admission total FIM score, cognitive condition, depression, and stroke severity are predictors of functional outcome of stroke patients after inpatient rehabilitation.

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Section: Discussionsupporting

confidence: 86%

“…In contrast with results of [25,48] and similar to the present study, Gagnon et al [9] demonstrated that the inpatient rehabilitation outcomes were not influenced by onset-admission interval.…”

Section: Discussionsupporting

confidence: 64%

Predictors of functional outcome in Saudi Arabian patients with stroke after inpatient rehabilitation

Abdul-Sattar

Godab

2013

NRE

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“…These results mirror results from previous studies by Bernhardt [40][41][42][43]. In all these studies the authors recommend that stroke patients should be mobilized as early as possible, once medical stability is reached.…”

Section: Physiotherapy Rehabilitation Of Stroke Patientsupporting

confidence: 87%

Care process for stroke patients in kenya: mixed study

Kingau¹

2018

Health Edu Care

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Background: Longer-term impairments and activity limitations secondary to stroke can cause inability to return to work, and decreased social participation. Upon stroke episode, patients follow a series of care pathways implemented by healthcare professionals. However, this pathway differs in developing and developed countries. The purpose of this study is to determine the physiotherapy stroke rehabilitation pathway in Kenya.

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“…While there was wide variability in the scores, the FIM score of 89 is consistent with the discharge FIM scores of 70–108 reported in the literature. 46–49 It is interesting to note however, that the scores on SIS physical domain sub-scale as a measure of the individual’s perception of recovery was a significant predictor. Persons with stroke who perceived that they were functioning better (high SIS physical deomain scores) were less likely to have resumed PT or OT within four weeks after discharge.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Resuming Therapy Within Four Weeks After Discharge from Inpatient Rehabilitation

Ostwald¹,

Godwin²,

Cheong

et al. 2009

Topics in Stroke Rehabilitation

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Purpose-1) Identify the percentage of persons with stroke resuming therapy within four weeks of inpatient rehabilitation discharge, 2) compare the characteristics of those who did and did not resume therapy, and 3) determine the predictors of resuming physical (PT), occupational (OT), and speech (ST) therapy.Method-Socio-demographic, stroke-related, and therapy data for persons with stroke (n=131) were abstracted from inpatient rehabilitation charts. Functional Independence Measure, Stroke Impact Scale, Geriatric Depression Scale and data on therapy received after discharge were also collected.Results-Logistic regression models demonstrated that minorities were less likely to resume PT (OR=.30) and OT (OR=.25). Survivors with neglect/visual-field cut/spatial-perceptual loss were 2-3 times more likely to resume PT, OT, and ST. Survivors with higher scores on the SIS Physical domain sub-scale were less likely to resume PT (OR=0.98) and OT (OR=0.97). Men were 3.3 times more likely to have OT than women. Those with comprehensive health insurance were 11.2 times more likely to receive ST.Conclusions-The benefits of outpatient therapy are not universally available to all persons with stroke. Further research needs to explore the factors that hinder the prompt resumption of therapy for minority and female persons with stroke and to test appropriate interventions.

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Ideal timing to transfer from an acute care hospital to an interdisciplinary inpatient rehabilitation program following a stroke: an exploratory study

Cited by 21 publications

References 37 publications

Predictors of functional outcome in Saudi Arabian patients with stroke after inpatient rehabilitation

Predictors of functional outcome in Saudi Arabian patients with stroke after inpatient rehabilitation

Care process for stroke patients in kenya: mixed study

Predictors of Resuming Therapy Within Four Weeks After Discharge from Inpatient Rehabilitation

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