Admission in Neurorehabilitation and Association with Functional Outcomes after Stroke in France: A Nation-Wide Study, 2010-2014.
J Stroke Cerebrovasc Dis
; 27(12): 3443-3450, 2018 Dec.
Article
em En
| MEDLINE
| ID: mdl-30190227
ABSTRACT
GOAL We studied time trends of admission in neurological rehabilitation units (NRU) among patients hospitalised for stroke from 2010 to 2014 and compared prognostic factors of functional gain, home return and inpatient survival. METHODS:
Patients hospitalized for Stroke from 2010 to 2014 were selected from the French national hospital databases. Admission in rehabilitation was searched till 3 months. Predictive factors of functional gain, home return, in-patient survival, and the corresponding trends were studied using logistic regression.RESULTS:
In 2014, global rehabilitation rate was 36.3% with 15.8 discharged in a NRU. The rate of patients managed in NRU rose between 2010 and 2014. An increase in the proportion of home return (+4%) and inpatient survival rate (+7%) were observed between 2010 and 2014. Almost 40% of patients with severe functional deficits benefited of a partial or complete recovery after their rehabilitation stay. NRU admission was associated with higher probability of functional gain (OR [odds ratio] =1.76 [confidence interval {CI} 95% 1.67-1.85]), home return (ORâ¯=â¯1.38 [CI 95% 1.29-1.47]) and inpatient survival (ORâ¯=â¯3.15 [CI 95% 2.83-3.52]).CONCLUSIONS:
A greater proportion of patients were admitted in NRU along with an increase of home return and in-patient survival, but too many patients remained excluded.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Admissão do Paciente
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Centros de Reabilitação
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Reabilitação do Acidente Vascular Cerebral
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article