Deans' stroke musings: Older Age, Low Socioeconomic Status, and Multiple Comorbidities Lower the Probability of Receiving Inpatient Rehabilitation Half a Year After Stroke

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, August 15, 2017

Older Age, Low Socioeconomic Status, and Multiple Comorbidities Lower the Probability of Receiving Inpatient Rehabilitation Half a Year After Stroke

All stroke survivors should be able to receive and use stroke protocols that get them to 100% recovery. No stroke survivor left behind. If you can't get behind that goal then get the fuck out of the stroke profession.
http://www.archives-pmr.org/article/S0003-9993%2816%2930960-1/fulltext#.WZLrX54sH00.twitter

Huan-Jui Yeh, MD

Nicole Huang, PhD

Yiing-Jenq Chou, PhD

Shun-Ping Cheng, MD

Wai-Keung Lee, MD

Chun-Cho Lai, MD

Chi-Chia Cheng, MD

Correspondence information about the author MD Chi-Chia Cheng

Email the author MD Chi-Chia Cheng

DOI: http://dx.doi.org/10.1016/j.apmr.2016.08.468

Article Info

Abstract

Objective

To determine the predictors of receiving inpatient rehabilitation during 7 to 12 months after stroke.

Design

Retrospective cohort study.

Setting

A nationally representative sample of 1 million National Health Insurance enrollees.

Participants

Patients with new-onset stroke (N=13,828) were included. Studied participants were patients who received inpatient rehabilitation during 4 to 6 months after stroke. Patients who died within 1 year of the stroke event were excluded (n=488).

Interventions

Not applicable.

Main Outcome Measures

The outcome variable of interest was the probability of receiving inpatient rehabilitation during 7 to 12 months after stroke. The characteristics of both patients and medical care providers were investigated to determine their effect on patients receiving inpatient rehabilitation.

Results

Older patients, patients of low socioeconomic status, patients with Charlson Comorbidity Index ≥5, and patients who received outpatient rehabilitation during 4 to 6 months after stroke have a lower rate of receiving inpatient rehabilitation than do their counterparts. In addition, receiving inpatient rehabilitation during 7 to 9 months after stroke is a strong positive predictor of receiving inpatient rehabilitation during 10 to 12 months after stroke (odds ratio, 38.556; P<.0001).

Conclusions

This study revealed that older age, lower socioeconomic status, and multiple comorbidities are negative predictive factors with a cumulative predictive power for the probability of receiving inpatient rehabilitation during 7 to 12 months after stroke.

Deans' stroke musings