Deans' stroke musings: Early inpatient rehabilitation admission and stroke patient outcomes

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.

Wednesday, May 13, 2015

Early inpatient rehabilitation admission and stroke patient outcomes

This is not really worthwhile data since currently there is no objective basis for classifying damage. Mild, moderate and severe do not correlate to any measurement of cubic cm. of dead brain and its location or any measure of penumbra damage. Until we get to size and location to describe stroke damage we can't make any comparisons at all.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J70730&phrase=no&rec=127154
American Journal of Physical Medicine and Rehabilitation , Volume 94(2) , Pgs. 85-100.

NARIC Accession Number: J70730. What's this?
ISSN: 0894-9115.
Author(s): Wang, Hua; Camicia, Michelle; Divita, Magaret; Mix, Jacqueline; Niewczyk, Paulette.
Publication Year: 2015.
Number of Pages: 16.
Abstract: Study examined the relationship between the time from stroke onset to inpatient rehabilitation facility (IRF) admission (onset days) and patient outcomes, using nationally representative data. A secondary data analysis was conducted on a random sample of stroke patients discharged from IRFs in the United States between 2009 and 2011, including 649 mildly, 2,185 moderately, and 2,390 severely impaired patients. The rehabilitation outcomes of interest include Functional Independence Measure (FIM) gain, discharge destination, and IRF length of stay (LOS). The onset day variable was analyzed as a continuous variable and a categorical variable (0 to 2, 3 to 7, 8 to 14, and 15 to 365 days). The median of onset days for the total study sample was 5.5, with an interquartile range of 4 to 9 days. Severely impaired patients had a higher cognition gain and were more likely to be discharged to the community when admitted within 7 days, a greater motor gain when admitted within 14 days, and a lower risk for acute hospital transfer when admitted 3 to 7 days. Moderately impaired patients had a greater motor gain when admitted within 7 days. Early IRF admission was also associated with a shorter LOS. The results indicated that earlier IRF admission was beneficial among severely and moderately impaired patients. IRF admission within 7 days is recommended for stroke patients who achieved medical stability.
Descriptor Terms: EARLY INTERVENTION, FUNCTIONAL STATUS, OUTCOMES, REHABILITATION FACILITIES, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Wang, Hua, Camicia, Michelle, Divita, Magaret, Mix, Jacqueline, Niewczyk, Paulette. (2015). Early inpatient rehabilitation admission and stroke patient outcomes. American Journal of Physical Medicine and Rehabilitation, 94(2), Pgs. 85-100. Retrieved 5/13/2015, from REHABDATA database.