Article

In this study, Outcomes are described for patients receiving 'slow
stream' rehabilitation care (called low tolerance long duration rehabilitation in
Ontario, Canada consisting of approximately 5 h of rehabilitation weekly) for
patients recovering from stroke in Ontario complex continuing care (CCC)
(chronic) healthcare settings. METHOD: In 2006-2007, 81 post-acute stroke
patients recovering in six Ontario, Canada CCC settings were studied. Both
primary and secondary data sources were used to calculate six clinical
characteristics of study patients and three outcomes: patient satisfaction with
care, discharge location, and length of CCC stay. In addition, descriptive
statistics, tests of difference were employed to examine differences in clinical
characteristics and outcomes for patients across facilities. RESULTS: Mean
patient age was 74 years, 59% were females, 51% were married, and 34.6% lived
alone prior to hospitalization. Patient data on six clinical characteristics is
described. Almost half of patients were discharged to independent or
semi-independent living. Mean length of stay (LOS) was 112.8 days. Mean scores
for patient-reported satisfaction with care were 71 (out of 100). There were
statistically significant differences in all outcomes across facilities.
CONCLUSIONS: Slower paced and less intensive rehabilitation was successful in
transitioning the majority of patients to independent living or to a healthcare
setting providing less intensive care. Opportunities exist to promote increased
patient satisfaction with care.

Langue : ANGLAIS