ArticleBMC health services research2008
In patient stroke rehabilitation efficiency: influence of organization of service delivery and staff numbers.
Article in BMC health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
14 citing papers in PubMed, 34 citations in OpenAlex.
- An Exoneuromusculoskeleton for Self-Help Upper Limb Rehabilitation After Stroke.Soft robotics · 2022Trial
- Distal versus proximal - an investigation on different supportive strategies by robots for upper limb rehabilitation after stroke: a randomized controlled trial.Journal of neuroengineering and rehabilitation · 2019Trial
- Study protocol: a randomised controlled trial of a nurse-led community-based self-management programme for improving recovery among community-residing stroke survivors.BMC health services research · 2016Trial
- Perspectives of healthcare providers on barriers to and unmet needs of stroke rehabilitation in Kelantan, Malaysia.Singapore medical journal · 2026Article
- Rehabilitation outcomes of patients with posterior circulation stroke after acute inpatient rehabilitation.Frontiers in rehabilitation sciences · 2026Article
- A Dual Approach to Rehabilitation of an autoimmune ataxia : A case study involving the Adult-Onset Opsoclonus-Myoclonus-Ataxia Syndrome.Archives of rehabilitation research and clinical translation · 2025Article
- Rehabilitation success and related costs following stroke in a regional hospital: a retrospective analysis based on the Australian National Subacute and Non-Acute Patient (AN-SNAP) classification.BMC health services research · 2025Article
- The Translation of Mobile-Exoneuromusculoskeleton-Assisted Wrist-Hand Poststroke Telerehabilitation from Laboratory to Clinical Service.Bioengineering (Basel, Switzerland) · 2023Article
- Personalized robots for long-term telerehabilitation after stroke: a perspective on technological readiness and clinical translation.Frontiers in rehabilitation sciences · 2023Article
- Home-based self-help telerehabilitation of the upper limb assisted by an electromyography-driven wrist/hand exoneuromusculoskeleton after stroke.Journal of neuroengineering and rehabilitation · 2021Article
- A Data-Driven Investigation on Surface Electromyography Based Clinical Assessment in Chronic Stroke.Frontiers in neurorobotics · 2021Article
- The Effects of Upper-Limb Training Assisted with an Electromyography-Driven Neuromuscular Electrical Stimulation Robotic Hand on Chronic Stroke.Frontiers in neurology · 2017Article
- Exploring views on long term rehabilitation for people with stroke in a developing country: findings from focus group discussions.BMC health services research · 2014Article
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Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOutcomes of inpatient stroke rehabilitation need to be reviewed in terms of optimal resource utilization (staff time, service organization, and duration of stay). We compared FIM efficiency scores between three hospitals, and also variation in FIM scores over a ten year period in one hospital undergoing reduction in staff numbers, to examine the relationship between outcome and service characteristics.
methodThis is a retrospective study comparing the mean FIM efficiency for stroke patients (FIM score - FIM admission score) divided by duration of stay for 2005 among three rehabilitation hospitals adjusting for age and baseline FIM score, and a longitudinal study of changes in mean FIM efficiency during a ten year period in one hospital, to examine the effects of different service organization and staff numbers.
resultsFIM efficiency (FIMEG) was inversely associated with age, and positively associated with admission FIM score. FIMEG was higher in the hospital with a coordinated care plan involving medical, nursing, occupational, physiotherapy staff and other healthcare providers working as a team, with a seamless interface with community rehabilitation services. Over a ten year period, reduction in staff numbers was associated with reduction in FIMEG, which may be offset to some extent by service re-engineering.
conclusionWithin hospital organization of stroke rehabilitation services may influence outcome. A critical number of staff may be identified for the provision of services, below which rehabilitation efficiency may be affected.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.