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The Impact of One's Sex and Social Living Situation on Rehabilitation Outcomes After a Stroke.
Hay, Catherine Cooper; Graham, James E; Pappadis, Monique R; Sander, Angelle M; Hong, Ickpyo; Reistetter, Timothy A.
Afiliación
  • Hay CC; From the University of Texas Medical Branch, Division of Rehabilitation Science, Galveston, Texas (CCH, JG, MRP); H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Brain Injury Research Center, TIRR Memorial Hermann, Houston, Texas (AMS); and University of Texas Medical Branch School of Occupational Therapy, Galveston, Texas (IH, TR).
Am J Phys Med Rehabil ; 99(1): 48-55, 2020 01.
Article en En | MEDLINE | ID: mdl-31343498
OBJECTIVE: The aim of the study was to investigate sex differences and the impact of social living situation on individual functional independence measure outcomes after stroke rehabilitation. DESIGN: A retrospective observational study using Medicare fee-for-service beneficiaries (N = 125,548) who were discharged from inpatient rehabilitation facilities in 2013 and 2014 after a stroke. Discharge individual functional independence measure score, dichotomized as ≥5 and <5, was the primary outcome measure. A two-step generalized linear mixed model was used to measure the effect of sex on each functional independence measure item while controlling for many clinical and sociodemographic covariates. RESULTS: After adjusting for sociodemographic and clinical factors, females had higher odds of reaching a supervision level for 14 of 18 functional independence measure items. Males had higher odds of reaching a supervision level on 2 of 18 functional independence measure items. Individuals who lived alone before their stroke had higher odds of reaching a supervision level than individuals who lived with a caregiver or with family for all functional independence measure items. CONCLUSIONS: When sociodemographic and clinical factors are controlled, females are more likely to discharge from inpatient rehabilitation at a supervision level or better for most functional independence measure items. Individuals who live alone before their stroke have higher odds of discharging at a supervision level or better.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Condiciones Sociales / Características de la Residencia / Factores Sexuales / Evaluación de la Discapacidad / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Observational_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Aged / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Am J Phys Med Rehabil Asunto de la revista: MEDICINA FISICA / REABILITACAO Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Condiciones Sociales / Características de la Residencia / Factores Sexuales / Evaluación de la Discapacidad / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Observational_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Aged / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Am J Phys Med Rehabil Asunto de la revista: MEDICINA FISICA / REABILITACAO Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos