Article

OBJECTIVE: To determine the predictors of receiving inpatient rehabilitation
during 7 to 12 months after stroke. DESIGN: Retrospective cohort study. SETTING:
A nationally representative sample of 1 million National Health Insurance
enrollees. PARTICIPANTS: Patients with new-onset stroke (N=13,828) were included.
Studied participants were patients who received inpatient rehabilitation during 4
to 6 months after stroke.
Patients who died within 1 year of the stroke event
were excluded (n=488). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The
outcome variable of interest was the probability of receiving inpatient
rehabilitation during 7 to 12 months after stroke. The characteristics of both
patients and medical care providers were investigated to determine their effect
on patients receiving inpatient rehabilitation. RESULTS: Older patients, patients
of low socioeconomic status, patients with Charlson Comorbidity Index >/=5, and
patients who received outpatient rehabilitation during 4 to 6 months after stroke
have a lower rate of receiving inpatient rehabilitation than do their
counterparts. In addition, receiving inpatient rehabilitation during 7 to 9
months after stroke is a strong positive predictor of receiving inpatient
rehabilitation during 10 to 12 months after stroke (odds ratio, 38.556; P<.0001).
CONCLUSIONS: This study revealed that older age, lower socioeconomic status, and
multiple comorbidities are negative predictive factors with a cumulative
predictive power for the probability of receiving inpatient rehabilitation during
7 to 12 months after stroke.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS