Regional variation in stroke rehabilitation outcomes.

Abstract:

OBJECTIVE:To examine and describe regional variation in outcomes for persons with stroke receiving inpatient medical rehabilitation. DESIGN:Retrospective cohort design. SETTING:Inpatient rehabilitation units and facilities contributing to the Uniform Data System for Medical Rehabilitation from the United States. PARTICIPANTS:Patients (N=143,036) with stroke discharged from inpatient rehabilitation during 2006 and 2007. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Community discharge, length of stay (LOS), and discharge functional status ratings (motor, cognitive) across 10 geographic service regions defined by the Centers for Medicare and Medicaid Services (CMS). RESULTS:Approximately 71% of the sample was discharged to the community. After adjusting for covariates, the percentage discharged to the community varied from 79.1% in the Southwest (CMS region 9) to 59.4% in the Northeast (CMS region 2). Adjusted LOS varied by 2.1 days, with CMS region 1 having the longest LOS at 18.3 days and CMS regions 5 and 9 having the shortest at 16.2 days. CONCLUSIONS:Rehabilitation outcomes for persons with stroke varied across CMS regions. Substantial variation in discharge destination and LOS remained after adjusting for demographic and clinical characteristics.

journal_name

Arch Phys Med Rehabil

authors

Reistetter TA,Karmarkar AM,Graham JE,Eschbach K,Kuo YF,Granger CV,Freeman J,Ottenbacher KJ

doi

10.1016/j.apmr.2013.07.018

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

29-38

issue

1

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(13)00583-2

journal_volume

95

pub_type

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