Deans' stroke musings: Effect of rehabilitation intensity on mortality risk 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.

Saturday, September 8, 2018

Effect of rehabilitation intensity on mortality risk after stroke

Wrong conclusion. If your patient can do high intensity rehab that means they had a smaller stroke and thus lower mortality due to that, NOT the rehab intensity. Does no one understand cause and effect? Even their mentors and senior researchers?

Effect of rehabilitation intensity on mortality risk after stroke

Archives of Physical Medicine and Rehabilitation , Volume 99(6) , Pgs. 1042-1048, 1048.e1-1048.e6.

NARIC Accession Number: J79118. What's this?
ISSN: 0003-9993.
Author(s): Hsieh, Cheng-Yang; Huang, Shiu-Chen; Wu, Darren P.; Li, Chung-Yi; Chiu, Meng-Jun; Sung, Sheng-Feng.
Publication Year: 2018.
Number of Pages: 13.
Abstract: Study examined the relationship between rehabilitation intensity and poststroke mortality using data from Taiwan’s National Health Insurance claims databases. A total of 6,737 patients hospitalized between 2001 and 2013 for a first-ever stroke, who had mild-to-moderate stroke and survived the first 90 days of stroke, were enrolled. The intensity of rehabilitation therapy within 90 days after stroke was categorized into low, medium, or high based on the tertile distribution of the number of rehabilitation sessions. The outcome of interest was long-term all-cause mortality. The Cox proportional hazard models with Bonferroni correction were used to assess the association between rehabilitation intensity and mortality, adjusting for age, comorbidities, stroke severity, and other covariates. Results showed patients in the high-intensity group were younger but had a higher burden of comorbidities and greater stroke severity. During follow-up, the high-intensity group was associated with a significantly lower adjusted risk (hazard ratio [HR] = .73) of mortality than the low-intensity group, whereas the medium-intensity group carried a similar risk of mortality (HR = 0.94) compared with the low-intensity group. This association was not modified by stroke severity. The findings demonstrated that among patients with mild-to-moderate stroke severity, high-intensity rehabilitation therapy within the first 90 days was associated with a lower mortality risk than low-intensity therapy. Efforts to promote high-intensity rehabilitation therapy for this group of patients with stroke should be encouraged.(Wrong reasoning)
Descriptor Terms: DEATH, INTERNATIONAL REHABILITATION, PREVENTION, SERVICE DELIVERY, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Not available from NARIC.

Citation: Hsieh, Cheng-Yang, Huang, Shiu-Chen, Wu, Darren P., Li, Chung-Yi, Chiu, Meng-Jun, Sung, Sheng-Feng. (2018). Effect of rehabilitation intensity on mortality risk after stroke. Archives of Physical Medicine and Rehabilitation , 99(6), Pgs. 1042-1048, 1048.e1-1048.e6. Retrieved 9/8/2018, from REHABDATA database.