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Arch Phys Med Rehabil. 2005 Dec;86(12 Suppl 2):S34-S40.

Timing of initiation of rehabilitation after stroke.

Author information

1
Salt Lake OI Field Office, Department of Veterans Affairs, Salt Lake City, UT 84102-1282, USA.

Abstract

Maulden SA, Gassaway J, Horn SD, Smout RJ, DeJong G. Timing of initiation of rehabilitation after stroke.

OBJECTIVE:

To study associations between days from stroke symptom onset to rehabilitation admission and rehabilitation outcomes, controlling for a variety of confounding variables.

DESIGN:

Observational cohort study of 200 consecutive post-stroke rehabilitation patients in each of 6 inpatient rehabilitation facilities.

SETTING:

Six U.S. inpatient rehabilitation hospitals.

PARTICIPANTS:

Patients (N=969) with moderate or severe strokes who had days from stroke symptom onset to rehabilitation admission recorded in their medical records.

INTERVENTIONS:

Not applicable.

MAIN OUTCOME MEASURES:

Discharge total FIM, discharge motor FIM, discharge activities of daily living (ADL) FIM, and discharge mobility FIM scores, as well as rehabilitation length of stay (LOS).

RESULTS:

Fewer days from stroke symptom onset to rehabilitation admission was associated significantly with better functional outcomes: higher total, motor, mobility, and ADL discharge FIM scores, controlling for confounding variables. For severely impaired patients with stroke in case-mix groups (CMGs) 108-114, the relation was strongest, with F statistics greater than 24.1 for each functional outcome. For patients with moderately severe stroke in CMGs 104-107, fewer days from stroke symptom onset to rehabilitation admission was associated significantly with shorter rehabilitation LOS.

CONCLUSIONS:

Fewer days from stroke symptom onset to rehabilitation admission is associated with better functional outcomes at discharge and shorter LOS.

PMID:
16373138
DOI:
10.1016/j.apmr.2005.08.119
[Indexed for MEDLINE]
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