Article

OBJECTIVE: To examine and describe regional variation in outcomes for persons
with stroke receiving inpatient medical rehabilitation.
DESIGN: Retrospective
cohort design. SETTING: Inpatient rehabilitation units and facilities
contributing to the Uniform Data System for Medical Rehabilitation from the
United States. PARTICIPANTS: Patients (N=143,036) with stroke discharged from
inpatient rehabilitation during 2006 and 2007. INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: Community discharge, length of stay (LOS), and discharge
functional status ratings (motor, cognitive) across 10 geographic service regions
defined by the Centers for Medicare and Medicaid Services (CMS). RESULTS:
Approximately 71% of the sample was discharged to the community. After adjusting
for covariates, the percentage discharged to the community varied from 79.1% in
the Southwest (CMS region 9) to 59.4% in the Northeast (CMS region 2). Adjusted
LOS varied by 2.1 days, with CMS region 1 having the longest LOS at 18.3 days and
CMS regions 5 and 9 having the shortest at 16.2 days. CONCLUSIONS: Rehabilitation
outcomes for persons with stroke varied across CMS regions. Substantial variation
in discharge destination and LOS remained after adjusting for demographic and
clinical characteristics.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS