Article

In France in 2009, patients admitted to Multidisciplinary Inpatient
Rehabilitation for stroke were sent to a neurological rehabilitation center (NRC)
or a general or geriatric rehabilitation (GRC) service. OBJECTIVE: To describe
the functional outcome of stroke patients admitted for rehabilitation in France
in 2009, both globally and as a function of the rehabilitation setting (GRC or
NRC). METHODS: Data from the French Hospital Discharge Diagnosis databases for
2009 were included. Two logistic regression models were used to analyze factors
related to improvement in dependence score and discharge home. Odds ratios (ORs)
were also calculated. RESULTS: Among the 83 505 survivors of acute stroke in
2009, 28 201 were admitted for rehabilitation (33.8%). Of these, 19 553 went to
GRC (69%) and 8648 to NRC (31%). On average, patients admitted to GRC were older
(78.6 years vs 66.4 years), P < .001). At the start of rehabilitation, 50% of NRC
patients and 56% of GRC patients were heavily dependent, but level of dependence
was similar within each age-group. Rehabilitation in NRC lead to a greater
probability of functional improvement (OR = 1.75, P < .001) and home discharge
(OR = 1.61, P < .001) after adjustment for gender, age, Charlson's comorbidity
index, initial level of dependence, type of stroke, and total length of stay.
CONCLUSION: This study confirms, on a national level, the functional benefit of
specialized rehabilitation in NRC. These results should be useful in the
improvement of care pathways, organization of rehabilitation, and discharge
planning.

Langue : ANGLAIS