Stroke rehabilitation – who benefits? A comparison of medical wards and rehabilitation units

Shah S., Vanclay F. and Cooper B. (1992) Stroke rehabilitation – who benefits? A comparison of medical wards and rehabilitation units. Restorative Neurology and Neuroscience, 4 6: 401-410. doi:10.3233/RNN-1992-4605


Author Shah S.
Vanclay F.
Cooper B.
Title Stroke rehabilitation – who benefits? A comparison of medical wards and rehabilitation units
Journal name Restorative Neurology and Neuroscience   Check publisher's open access policy
ISSN 1878-3627
Publication date 1992-01-01
Sub-type Article (original research)
DOI 10.3233/RNN-1992-4605
Open Access Status Not yet assessed
Volume 4
Issue 6
Start page 401
End page 410
Total pages 10
Subject 2808 Neurology
2806 Developmental Neuroscience
2728 Clinical Neurology
2800 Neuroscience
3206 Neuropsychology and Physiological Psychology
Abstract This prospective, multicentre, population study, of all first-stroke survivors in one year referred for in-patient rehabilitation, compares the efficiency and effectiveness of functional recovery following ad hoc and routine rehabilitation of general medical wards with intensive and comprehensive rehabilitation of mixed disability geriatric/rehabilitation units. After controlling for potential confounding variables, no significant differences were recorded in terms of Barthel discharge function scores, effectiveness or efficiency of rehabilitation. Conventional rehabilitation in general medical wards of acute hospitals was 35% more efficient than comprehensive rehabilitation in geriatric/rehabilitation units (1.08 vs. 0.70, P < 0.001), this being due to unnecessarily long rehabilitation stays (44 vs. 70 days, P < 0.000). Contrary to other studies, geriatric/rehabilitation units did not significantly increase the discharge scores, did not accelerate the process of rehabilitation, and did not decrease the demand for extended-care beds.
Keyword ADL outcome
Functional independence
Hemiplegia
Rehabilitation efficiency
Stroke rehabilitation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: Scopus Import - Archived
 
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Created: Tue, 30 Aug 2016, 14:01:05 EST by System User