Many stroke survivors don't receive timely rehab
Wednesday News Tip – Presentation 26 – Session: A4
Embargoed until 9:45 a.m. Pacific Time 12:45 p.m. Eastern Time, Wednesday, Jan. 24, 2018
LOS ANGELES, Jan. 24, 2018 — Whether they are referred to home-based or outpatient rehabilitation after hospital discharge, many stroke patients don’t receive rehabilitation services, according to preliminary research presented at the American Stroke Association’s International Stroke Conference 2018, a world premier meeting dedicated to the science and treatment of cerebrovascular disease for researchers and clinicians.
“We don’t know the exact reasons why these patients did not receive rehabilitation, but we assume it has to do with the co-pay that is associated with outpatient therapy services, even for those who have insurance. Home health, on the other hand, does not include co-pays, but there were still over half of those referred who did not receive it,” said Cheryl Bushnell, M.D., M.H.S., study author and professor of Neurology and director, Wake Forest Baptist Stroke Center, Wake Forest Baptist Health in Winston Salem, North Carolina. “Clearly we need more research to understand these factors.”
Timely rehabilitation after stroke is essential to optimize recovery. In this study, researchers evaluated whether patients discharged directly from the hospital to their homes experienced delays or gaps in care. In preliminary results from a pragmatic trial of COMprehensive Post-Acute Stroke Services (COMPASS), researchers called 369 participants thirty days after their discharge from the hospital. These patients included only those who had been referred to rehabilitation either at hospital discharge or at a follow-up clinic visit within 14 days of discharge.
Researchers found:
The Patient Centered Outcomes Research Institute funded the study.
Cheryl Bushnell, M.D., M.H.S., Wake Forest School of Medicine, Winston-Salem, North Carolina.
Presentation location: Room 502A
Additional Resources:
LOS ANGELES, Jan. 24, 2018 — Whether they are referred to home-based or outpatient rehabilitation after hospital discharge, many stroke patients don’t receive rehabilitation services, according to preliminary research presented at the American Stroke Association’s International Stroke Conference 2018, a world premier meeting dedicated to the science and treatment of cerebrovascular disease for researchers and clinicians.
“We don’t know the exact reasons why these patients did not receive rehabilitation, but we assume it has to do with the co-pay that is associated with outpatient therapy services, even for those who have insurance. Home health, on the other hand, does not include co-pays, but there were still over half of those referred who did not receive it,” said Cheryl Bushnell, M.D., M.H.S., study author and professor of Neurology and director, Wake Forest Baptist Stroke Center, Wake Forest Baptist Health in Winston Salem, North Carolina. “Clearly we need more research to understand these factors.”
Timely rehabilitation after stroke is essential to optimize recovery. In this study, researchers evaluated whether patients discharged directly from the hospital to their homes experienced delays or gaps in care. In preliminary results from a pragmatic trial of COMprehensive Post-Acute Stroke Services (COMPASS), researchers called 369 participants thirty days after their discharge from the hospital. These patients included only those who had been referred to rehabilitation either at hospital discharge or at a follow-up clinic visit within 14 days of discharge.
Researchers found:
- 115 patients were referred to home health rehabilitation services, but less than half (43.5 percent) received it;
- 85 patients were referred to outpatient rehabilitation, but only about a third (34.1 percent) received it;
- non-white patients referred to outpatient rehabilitation were 78 percent less likely to receive it than white patients, after adjusting for factors such as age, severity of stroke and degree of disability; and
- no demographic factors were identified that distinguished those who did and did not receive home-based rehabilitation.
The Patient Centered Outcomes Research Institute funded the study.
Cheryl Bushnell, M.D., M.H.S., Wake Forest School of Medicine, Winston-Salem, North Carolina.
Presentation location: Room 502A
Additional Resources:
- Available downloadable B-roll, animation and images related to this news tip are on the right column of the tip link https://newsroom.heart.org/news/many-stroke-survivors-dont-receive-timely-rehab?preview=ad0c62248911de9977f48ed5a5381d41
- Life After Stroke
- For more news at AHA International Stroke Conference 2018, follow us on Twitter @HeartNews #ISC18.
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