Patient Characteristics and Functional Outcomes in a 5-Year Retrospective Stroke Cohort

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Abstract

Objective:

This retrospective study examined the relationship between patient characteristics and intervention outcomes in stroke rehabilitation in a large, diverse inpatient database.

Method:

A query of the electronic medical record for 2008-2012 identified 939 patients treated for stroke. An analysis was conducted for dichotomized total, motor, and cognitive Functional Independence Measure scores using univariable and multivariable analyses and patients' characteristics.

Results:

There was a significant population of non-white patients in the cohort (53%). Race was not found to be a factor that influenced outcomes. Patients who responded to treatment were more likely to be younger than 80, with a length of stay greater than 11 days, and currently employed. Length of stay had the strongest association with a positive treatment response (P ≤ 0.001). Patients who were older than 80 years and not working/retired at the time of stroke had less response to treatment.

Conclusion:

The results of the present study show that patients with a minimum of 3 key characteristics, in a diverse stroke population, are most likely to benefit maximally from intensive inpatient stroke rehabilitation irrespective of their race, sex, or number of comorbidities.

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