Article

OBJECTIVE: To assess the long-term health outcomes of acute stroke survivors
transferred to the rehabilitation ward. DESIGN: Long-term mortality rates of
first-time stroke survivors during hospitalization were compared among the
following sets of patients: patients transferred to the rehabilitation ward,
patients receiving rehabilitation without being transferred to the rehabilitation
ward, and patients receiving no rehabilitation. SETTING: Retrospective cohort
study. PARTICIPANTS: Patients (N = 11,419) with stroke from 2005 to 2008 were
initially assessed for eligibility. After propensity score matching, 390
first-time stroke survivors were included. INTERVENTIONS: None. MAIN OUTCOME
MEASURE: Cox proportional hazards regression model was used to assess differences
in 5-year poststroke mortality rates. RESULTS: Based on adjusted hazard ratios
(HRs), the patients receiving rehabilitation without being transferred to the
rehabilitation ward (adjusted HR, 2.20; 95% confidence interval [CI], 1.36-3.57)
and patients receiving no rehabilitation (adjusted HR, 4.00; 95% CI, 2.55-6.27)
had significantly higher mortality risk than the patients transferred to the
rehabilitation ward. Mortality rate of the stroke survivors was affected by age
>/=65 years (compared with age <45y; adjusted HR, 3.62), being a man (adjusted
HR, 1.49), having ischemic stroke (adjusted HR, 1.55), stroke severity (Stroke
Severity Index [SSI] score>/=20, compared with SSI score<10; adjusted HR, 2.68),
and comorbidity (Charlson-Deyo Comorbidity Index [CCI] score>/=3, compared with
CCI score=0; adjusted HR, 4.23). CONCLUSIONS: First-time stroke survivors
transferred to the rehabilitation ward had a 5-year mortality rate 2.2 times
lower than those who received rehabilitation without transfer to the
rehabilitation ward and 4 times lower than those who received no rehabilitation.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS