Deans' stroke musings: Utilization of rehabilitation services in stroke: A study utilizing the health and retirement study linked with Medicare claims data

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

Utilization of rehabilitation services in stroke: A study utilizing the health and retirement study linked with Medicare claims data

If you really want to solve this problem you give stroke survivors EXACT STROKE PROTOCOLS that deliver results. Then survivors will do the work necessary to recover. But all this research is doing is providing excuses for the medical profession as to why stroke survivors don't recover. I 100% blame the stroke medical world for why survivors don't 100% recover. That should get me flamed by every stroke doctor in the world. I will gladly respond to every one of them.

Utilization of rehabilitation services in stroke: A study utilizing the health and retirement study linked with Medicare claims data

Archives of Physical Medicine and Rehabilitation , Volume 100(12) , Pgs. 2244-2250.

NARIC Accession Number: J82776. What's this?
ISSN: 0003-9993.
Author(s): Keptner, Karen M.; Smyth, Kathleen; Koroukian, Siran; Schluter, Mark; Furlan, Anthony.
Publication Year: 2019.
Number of Pages: 7.

Abstract:

Study examined utilization of post stroke rehabilitation services among Medicare fee-for-service beneficiaries and identified the strongest predictors of utilization after the initial stroke care episode. Data from the Health and Retirement Study (HRS) were linked with Medicare claims data for 515 stroke survivors who were Medicare fee-for-service beneficiaries and participated in the HRS from 1998 to 2010. Utilization of rehabilitation services up to 10 years post stroke was the primary outcome with logistic regression used to predict utilization. Covariates included demographic factors, baseline functional status, health conditions, personal lifestyle factors, and social support. Rehabilitation service utilization was 21.6, 6.8, 15.8, 16.5, and <16 percent in years 2, 4, 6, 8, and 10, respectively. Age was the primary factor predicting use of rehabilitation in the first 10 years poststroke. Recurrent stroke was also significantly associated with utilization, whereas unspecified incident stroke at incident trended toward significance. None of the other factors was a significant predictor of participation in rehabilitation services in this period. The results suggest that a small number of Medicare fee-for-service beneficiaries who are stroke survivors utilize rehabilitation services in the first 10 years post stroke. Of those who do, age is the primary driver of utilization.
Descriptor Terms: MEDICARE, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, REHABILITATION SERVICES, STROKE.

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

Citation: Keptner, Karen M., Smyth, Kathleen, Koroukian, Siran, Schluter, Mark, Furlan, Anthony. (2019). Utilization of rehabilitation services in stroke: A study utilizing the health and retirement study linked with Medicare claims data. Archives of Physical Medicine and Rehabilitation , 100(12), Pgs. 2244-2250. Retrieved 3/16/2020, from REHABDATA database.

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