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Patient Characteristics and Functional Outcomes in a 5-Year Retrospective Stroke Cohort

Richard, Lynne PhD, OT/L; Maitra, Kinsuk PhD, OTR/L, FAOTA; da Costa, Bruno PhD; Maillet, Denise OTR/L; Ramsey, Cristina PT

Topics in Geriatric Rehabilitation: April/June 2017 - Volume 33 - Issue 2 - p 98–103
doi: 10.1097/TGR.0000000000000103
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Objective: This retrospective study examined the relationship between patient characteristics and intervention outcomes in stroke rehabilitation in a large, diverse inpatient database.

Method: A query of the electronic medical record for 2008-2012 identified 939 patients treated for stroke. An analysis was conducted for dichotomized total, motor, and cognitive Functional Independence Measure scores using univariable and multivariable analyses and patients' characteristics.

Results: There was a significant population of non-white patients in the cohort (53%). Race was not found to be a factor that influenced outcomes. Patients who responded to treatment were more likely to be younger than 80, with a length of stay greater than 11 days, and currently employed. Length of stay had the strongest association with a positive treatment response (P ≤ 0.001). Patients who were older than 80 years and not working/retired at the time of stroke had less response to treatment.

Conclusion: The results of the present study show that patients with a minimum of 3 key characteristics, in a diverse stroke population, are most likely to benefit maximally from intensive inpatient stroke rehabilitation irrespective of their race, sex, or number of comorbidities.

Occupational Therapy Department, Florida International University, Miami (Dr Richard); Occupational Therapy Department, Georgia State University, Atlanta, Georgia (Dr Maitra); Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland (Dr da Costa); and Memorial Regional Hospital South, Hollywood, Florida (Mss Maillet and Ramsey).

Correspondence: Lynne Richard, PhD, OT/L, Occupational Therapy Department, Nicole Wertheim College of Nursing and Health Sciences, 11200 SW 8th St, AHC3-442, Miami, FL 33199 (lyrichar@fiu.edu).

The authors acknowledge the partnership between Florida International University and Memorial Regional Health South that made this research possible.

There are no disclosures of support.

Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.