Article

OBJECTIVE: To determine rehabilitation length of stay (LOS) for patients with
stroke in Canada, and to evaluate which factors contribute to variations in LOS.
DESIGN: A retrospective cohort study of Canadians rehabilitating from stroke
using medical, functional, and sociodemographic variables extracted from the
Canadian Institute for Health Information's National Rehabilitation Reporting
System. SETTING: Canadian rehabilitation hospitals providing stroke
rehabilitation services. PARTICIPANTS: Patients with stroke (N=11,983) admitted
to rehabilitation hospitals from January 2008 through December 2009.
INTERVENTIONS: None. MAIN OUTCOME MEASURES: Rehabilitation LOSs were calculated
nationally and regionally. Regression models incorporating sociodemographic and
clinical measures were constructed to test their effect on LOS. RESULTS: The
median stroke rehabilitation LOSs was 35 days (quartiles: 20d, 54d). LOSs varied
regionally within Canada. A multivariable regression model including age, FIM
motor function scores at admission, and geographic region explained 20% of the
variation in LOSs. Modeling these data using a Function-Related Groups case-mix
model explained 16% of the variation in LOSs. CONCLUSIONS: FIM motor function
scores at admission along with age and geographic region best predicted
rehabilitation LOS. These variables explained 20% of the variation in LOSs.
Despite regional differences in LOSs, patient characteristics were similar
between regions. Other nonpatient factors not captured in these data may
contribute to a greater extent in determining stroke rehabilitation LOS.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS