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Examination of follow-up therapy in patients with stroke

KUO YF; OSTIR GV; GRANGER CV; OTTENBACHER KJ
AM J PHYS MED REHABIL , 2006, vol. 85, n° 3, p. 192-200
Doc n°: 123830
Localisation : Documentation IRR
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX

Objective: Examine the patterns and effect of follow-up therapy for persons with stroke. Design: Retrospective analysis of national inpatient medical rehabilitation facilities and follow-up survey data from 1994 to 2001. A total of 45,164 patients received inpatient medical rehabilitation after a stroke. The mean age (+/- standard deviation) was 69.5 (+/- 12.8) yrs, 48% were women, and 77% were non-Hispanic white. Average length of stay was 2 1.9 ( +/- 14.2) days. Results: The highest gain in FIM (TM) instrument ratings for follow-up therapy was associated with a discharge FIM (TM) rating of <= 65. Patients with FIM (TM) ratings <= 65 at discharge who received follow-up therapy gained an average of 19.4 points between discharge and follow-up assessment compared with a mean gain of 15.1 points for persons who did not receive follow-up therapy. Validity was examined using 100 bootstrap replications. The percentage of persons with FIM (TM) instrument scores of <= 65 receiving follow-up therapy increased from 38% in 1994 to 58% in 2001. Conclusions: The differences in postdischarge FIM (TM) gains between patients with and without follow-up therapy were greatest among patients with discharge FIM (TM) instrument ratings of <= 65. Compared with patients whose discharge FIM (TM) ratings were > 65, patients with discharge FIM (TM) scores of <= 65 who underwent follow-up therapy demonstrated substantially greater average postdischarge FIM' gains than those with FIM (TM) ratings of > 65.

Langue : ANGLAIS

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