Article

OBJECTIVE: To examine recovery of functional status for white, black, and
Hispanic patients who have had a stroke from the time of admission to inpatient
medical rehabilitation to 12 months after discharge. DESIGN: A longitudinal study
that used information from the Stroke Recovery in Underserved Population
database, a prospective observational study of persons with stroke who received
inpatient medical rehabilitation services during 2005-2006. SETTING: Eleven
inpatient rehabilitation facilities located across diverse regions of the United
States, including California, Florida, Iowa, Illinois, Kentucky, New Jersey, New
York (2), Texas (2), and Washington, DC. PARTICIPANTS: A total of 990 adults aged
55 years or older who had a stroke and were admitted to 1 of 11 inpatient medical
rehabilitation facilities in the United States were interviewed at 4 time points,
including admission to and discharge from an inpatient medical rehabilitation
facility and 3 and 12 months after discharge. INTERVENTIONS: Not applicable. MAIN
OUTCOME MEASURE: Functional status as measured by the Functional Independence
Measure (FIM). RESULTS: For the total sample, FIM ratings increased from
admission to discharge and from discharge to 3-month follow-up, with little
recovery occurring between 3 and 12 months. In random effects mixed models, at
3-month follow-up, both black and Hispanic patients had lower FIM ratings than
did white patients. At 12-month follow-up, black and white patients were similar;
however, Hispanic patients continued to have lower FIM ratings compare with white
patients. Racial/ethnic group, age, length of stay, and medical comorbidities
were significant predictors of total FIM ratings over the 4 time points.
CONCLUSIONS: Persons 55 years and older who have had a stroke, regardless of
race/ethnicity, appear to benefit from inpatient medical rehabilitation. Most
functional status gains occur during inpatient medical rehabilitation and
continue in the first few months after discharge, with little change afterward.
CI - Copyright (c) 2012 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS