Deans' stroke musings: The impact of one's sex and social living situation on rehabilitation outcomes after a 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.

Monday, March 16, 2020

The impact of one's sex and social living situation on rehabilitation outcomes after a stroke

But you didn't even answer the most basic question. How much sex do you need post stroke to 100% recover?

The impact of one's sex and social living situation on rehabilitation outcomes after a stroke

American Journal of Physical Medicine and Rehabilitation , Volume 99(1) , Pgs. 48-55.

NARIC Accession Number: J82802. What's this?
ISSN: 0894-9115.
Author(s): Hay, Catherine C.; Pappadis, Monique R.; Sander, Angelle M.; Hong, Ickpyo; Reistetter, Timothy A..
Project Number: 90IF0071 (formerly H133G140127).
Publication Year: 2020.
Number of Pages: 8.

Abstract:

Study investigated sex differences and the impact of social living situation on achieving individual functional independence after stroke rehabilitation. Participants were 125,548 Medicare fee-for-service beneficiaries who were discharged from inpatient rehabilitation facilities in 2013 and 2014 after a stroke. The Functional Independence Measure (FIM) score at discharge, dichotomized as ≥5 and <5, was the primary outcome measure. The FIM consists of 18 items in self-care, motor, speech, and cognition categories that are scored from 1 (total dependence) to 7 (independent). A score of 5 represents a requirement of supervision assistance only for basic activities. A two-step generalized linear mixed model was used to measure the effect of sex on each FIM item while controlling for many clinical and sociodemographic covariates. After adjusting for sociodemographic and clinical factors, females had higher odds of reaching a supervision level for 14 of 18 FIM items. Males had higher odds of reaching a supervision level on 2 of 18 FIM items. Individuals who lived alone before their stroke had higher odds of reaching a supervision level than individuals who lived with a caregiver or with family for all FIM items. When sociodemographic and clinical factors are controlled, females are more likely to discharge from inpatient rehabilitation at a supervision level or better for most FIM items. Individuals who live alone before their stroke have higher odds of discharging at a supervision level or better.
Descriptor Terms: COGNITION, COMMUNICATION, DAILY LIVING, DEPENDENCY, FEMALES, FUNCTIONAL STATUS, INDEPENDENT LIVING, MALES, MOTOR SKILLS, OUTCOMES, REHABILITATION FACILITIES, SELF CARE, STROKE.

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

Citation: Hay, Catherine C., Pappadis, Monique R., Sander, Angelle M., Hong, Ickpyo, Reistetter, Timothy A.. (2020). The impact of one's sex and social living situation on rehabilitation outcomes after a stroke. American Journal of Physical Medicine and Rehabilitation , 99(1), Pgs. 48-55. Retrieved 3/16/2020, from REHABDATA database.

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