Deans' stroke musings: Predictors of discharge to acute care after inpatient rehabilitation in severely affected stroke patients

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, September 13, 2012

Predictors of discharge to acute care after inpatient rehabilitation in severely affected stroke patients

They still are just using secondary effects rather than primary ones like penumbra damage and dead brain area.
http://www.naric.com/research/rehab/record.cfm?search=2&type=all&criteria=J63720&phrase=no&rec=118819
Abstract: Study identified predictors of discharge to acute care after inpatient rehabilitation in severely affected stroke patients. Participants included 223 of the most severely affected stroke patients: 86 were discharged to acute care and 137 were discharged to the community after inpatient medical rehabilitation. The variables examined were Functional Independence Measure (FIM) ratings, co-morbid medical conditions, and four groups of stroke-related neurologic deficits (hemiparesis, dysphagia, language deficits, and other stroke-related neurologic deficits). Results showed there were no significant demographic differences between those discharged to the acute care hospital and those discharged to the community. There was a difference in admission FIM ratings, whereby patients discharged to acute care were significantly lower on admission motor and cognitive function than were patients discharged to the community. After controlling for 19 groups of co-morbid medical conditions and 4 groups of stroke-related neurologic deficits, there was no significant difference between patients being discharged to an acute care hospital and those discharged to the community. The only variable predictive of discharge to the acute care hospital from an inpatient rehabilitation facility was function at admission, mainly the admission FIM motor rating.