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To determine the feasibility of tracking stroke patients' functional outcomes in an integrated health system across a care continuum using the computer version of the Activity Measure of Post-Acute Care (AM-PAC). A large integrated health care system in northern California. A total of 222 stroke patients (aged ≥18 years) who were hospitalized after an acute cerebrovascular accident. An AM-PAC...
To study the effects of daily treatment time on functional gain of patients who have had a stroke. A retrospective cohort study. An inpatient rehabilitation hospital (IRH) in northern California. Three hundred sixty patients who had a stroke and were discharged from the IRH in 2007. Average minutes of rehabilitation therapy per day, including physical therapy, occupation therapy, speech...
To study the association of postacute care (PAC) settings and mortality outcome of patients who sustained an ischemic stroke.A retrospective cohort study.An integrated health care system in northern California.Patients who sustained an acute ischemic stroke between 1996 and 2004, survived the initial acute care hospital stay, and received PAC services within 14 days of discharge (n = 16,538) and 61...
To study the association of time to inpatient rehabilitation hospital (IRH) admission and functional outcomes of patients who have had a stroke.A retrospective cohort study.A regional IRH.Moderately (n = 614) and severely (n = 1294) impaired patients who had a stroke who were admitted to the facility between 2002 and 2006.Not applicable.Change in total, motor, and cognitive Functional Independence...
To examine whether there are disparities in utilization of outpatient and home care services after stroke.Retrospective cohort study.The Kaiser Permanente of Northern California health care system, which provides health care for approximately 3.3 million members.A total of 11,119 patients hospitalized for a stroke between 1996 and 2003 and followed for 1 year.Receipt of outpatient rehabilitation (physical...
To determine whether there are disparities in postacute stroke rehabilitation based on type of stroke, race/ethnicity, sex/gender, age, socioeconomic status, geographic region, or service area referral patterns in a large integrated health system with multiple levels of care.Cohort study tracking rehabilitation services for 365 days after acute hospitalization for a first stroke.The Northern California...
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