Use of time by stroke patients: a comparison of four European rehabilitation centers.

Abstract:

BACKGROUND AND PURPOSE:Differences exist between European countries in the proportion of patients who die or become dependent after stroke. The aim of the present study was to identify differences in the use of time by stroke patients in 4 rehabilitation centers in 4 European countries. METHODS:In each of the 4 centers, 60 randomly selected stroke patients were observed at 10-minute intervals using behavioral mapping. Observations took place on 30 weekdays selected at random, on equal numbers of morning, afternoon, and evening sessions. A logistic generalized estimating equation model with correction for differences in case mix and multiple testing was used for the analysis. RESULTS:Overall time available from different professions was the highest in the United Kingdom, but patients in the United Kingdom spent on average only 1 hour per day in therapy. This was significantly less than patients in Belgium and Germany, who spent approximately 2 hours, and patients in Switzerland who spent approximately 3 hours per day in therapy. In all centers, patients spent less than half their time in interactions and >72% of the time in nontherapeutic activities. CONCLUSIONS:Important differences in the use of time were established, which appeared dependent on management decisions rather than the number of staff available. Patients in the Swiss and German centers spent more time in therapy, possibly because of the structured organization of rehabilitation. Further studies will verify whether this has an effect on outcome.

journal_name

Stroke

journal_title

Stroke

authors

De Wit L,Putman K,Dejaeger E,Baert I,Berman P,Bogaerts K,Brinkmann N,Connell L,Feys H,Jenni W,Kaske C,Lesaffre E,Leys M,Lincoln N,Louckx F,Schuback B,Schupp W,Smith B,De Weerdt W

doi

10.1161/01.STR.0000177871.59003.e3

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

1977-83

issue

9

eissn

0039-2499

issn

1524-4628

pii

01.STR.0000177871.59003.e3

journal_volume

36

pub_type

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