The impact of diabetes mellitus on stroke acute rehabilitation outcomes.

Abstract:

OBJECTIVE:To examine the impact of diabetes mellitus (DM) on functional outcomes after acute rehabilitation for cerebrovascular accident (CVA). DESIGN:A retrospective research design was used to analyze outcomes in patients with a primary diagnosis of unilateral stroke (n = 367) admitted to an urban, acute rehabilitation center in the Southeastern United States. RESULTS:Multivariable hierarchical regression revealed that DM did not contribute statistically significant variance to stroke acute rehabilitation prediction models. Rehabilitation admission functioning scores, rehabilitation length of stay, age, and stroke type were significant predictors of poststroke rehabilitation motor outcomes (r2 = 0.603) and cognitive outcomes (r2 = 0.712). Diabetes also had no significant impact on acute stroke rehabilitation lengths of stay or rehabilitation discharge setting. CONCLUSIONS:Diabetes does not seem to significantly impact short-term acute rehabilitation outcomes after stroke. Persons with diabetes who suffer a stroke seem to benefit and improve during their acute rehabilitation stay at levels equivalent to peers who are not diagnosed with diabetes. Future research should examine the impact of diabetes subtypes and undiagnosed diabetes on short- and long-term outcomes.

journal_name

Am J Phys Med Rehabil

authors

Ripley DL,Seel RT,Macciocchi SN,Schara SL,Raziano K,Ericksen JJ

doi

10.1097/PHM.0b013e31813e0769

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

754-61

issue

9

eissn

0894-9115

issn

1537-7385

pii

00002060-200709000-00010

journal_volume

86

pub_type

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