Article

OBJECTIVE: To examine the frequency and determinants of an assessment for
rehabilitation during the hospitalization for acute stroke. DESIGN: Prospective
cohort of patients admitted with acute stroke in the Get With The
Guidelines-Stroke (GWTG-Stroke) program from January 8, 2008, to March 31, 2011.
SETTING: Acute hospitals (n=1532) in the United States participating in the
GWTG-Stroke program. PARTICIPANTS: Adults with a stroke diagnosis (N=616,982)
from a GWTG-Stroke-participating acute hospital. INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURE: Documentation of an assessment for rehabilitation services
during the acute hospitalization. RESULTS: Overall, almost 90% of stroke patients
had documentation of an acute assessment for rehabilitation. In multivariable
analysis, patients significantly more likely to be assessed for rehabilitation
were younger, male, black or of other nonwhite races (Asian, American Indian,
Alaska Native, Native Hawaiian, or Pacific Islander) when compared with white,
independently ambulating before admission, and admitted from the community.
Patients who received a stroke consult, cared for in a stroke unit, and treated
in the northeast region of the United States were also more likely to be
assessed. CONCLUSIONS: There is evidence that rehabilitation was considered for
90% of acute stroke patients in this sample. Future research is needed to examine
what assessments are conducted and by whom, and how these are used to determine
the appropriate level of rehabilitation care for their needs.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS