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  1. Stroke rehabilitation : Clinical predictors of resource utilization.

    Article, Communication - En anglais

    Annual Assembly of the American Academy of Physical Medicine and Rehabilitation. Chicago, IL, USA, 1996/10/13.

    Objective 

    To identify predictors of rehabilitation hospital resource utilization for patients with stroke, using demographic, medical, and functional information available on admission.

    Design 

    Statistical analysis of data prospectively collected from stroke rehabilitation patients.

    Setting 

    Large, urban, academic freestanding rehabilitation facility.

    Participants 

    A total of 945 stroke patients consecutively admitted for acute inpatient rehabilitation.

    Main Outcome Measures 

    Resource utilization was measured by rehabilitation length of stay (LOS) and mean hospital charge per day (CPD).

    Methods 

    Independent variables were organized into categories derived from four consecutive phases of clinical assessment : (1) patient referral information, (2) acute hospital record review and patient history, (3) physical examination, and (4) functional assessment.

    Predictors for LOS and CPD were identified separately using four stepwise multiple linear regression analyses starting with variables from the first category and adding new category data for each subsequent analysis.

    Results 

    Severe neurologic impairment, as measured by Rasch-converted NIH stroke scale and lower Rasch-converted motor measure of the Functional Independence Measure (FIM) instrument predicted longer LOS (F2.824=231.9, p<. 001). (...)

    Mots-clés Pascal : Accident cérébrovasculaire, Personne âgée, Homme, Traitement, Rééducation, Réhabilitation, Facteur prédictif, Epidémiologie, Pronostic, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Réadaptation physique, Milieu urbain

    Mots-clés Pascal anglais : Stroke, Elderly, Human, Treatment, Reeducation, Rehabilitation, Predictive factor, Epidemiology, Prognosis, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease, Physical rehabilitation, Urban environment

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0016114

    Code Inist : 002B26I. Création : 31/05/1999.