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.

Tuesday, May 26, 2015

Length of Stay at Inpatient Rehabilitation Facility and Stroke Patient Outcomes

Wrong way to think about this. If you really want to know how to predict patient outcomes you have to have objective diagnosis of dead areas and the penumbra.
Medium f*cking whoopee.

http://onlinelibrary.wiley.com/doi/10.1002/rnj.218/abstract;jsessionid=95AA7FF424609AD0515CE84EFCD7D517.f02t04?
  1. Michelle Camicia MSN, CRRN, CCM1,*,
  2. Hua Wang PhD1,
  3. Margaret DiVita PhD, MS2,
  4. Jacqueline Mix MPH3 and
  5. Paulette Niewczyk PhD, MPH3
Article first published online: 22 MAY 2015
DOI: 10.1002/rnj.218


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Keywords:

  • Stroke;
  • rehabilitation;
  • length of stay;
  • outcomes

Abstract

Purpose

To examine the association of inpatient rehabilitation facility (IRF) length of stay (LOS) with stroke patient outcomes.

Design

A secondary data analysis of the Uniform Data System for Medical Rehabilitation database.

Methods

Stroke patients discharged from IRFs in the United States between 2009 and 2011 were identified and divided into mild (n = 639), moderate (n = 2,065), and severely (n = 2,077) impaired groups. Study outcomes included cognition and motor functional gains measured by the Functional Independence Measure (FIM) instrument and discharge to the community.

Findings

The average LOS was 8.9, 13.9, and 22.2 days for mild, moderate, and severely(nothing objective about these categories) impaired stroke patients, respectively. After controlling for FIM admission and other important covariates, a longer LOS was associated with a modest increase in cognition gain (β = 0.038, p = .0045) for the moderately impaired patients, and a modest increase in cognition (β = 0.13, p < .0001) and motor gains (β = 0.25, p < .0001) as well as a tendency for discharge to the community (OR = 1.01, 95% CI = 1.00–1.02) among the severely impaired patients. However, a longer LOS showed a negative association with functional gains among the mildly impaired patients as well as discharge to community for both mild and moderately impaired patients.

Conclusion

The association of IRF LOS and patient outcomes varied by stroke impairment severity, positively for more severely impaired patients and negatively for mildly impaired patients.
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