ArticleArchives of physical medicine and rehabilitation2010
Discharge destination's effect on bounce-back risk in Black, White, and Hispanic acute ischemic stroke patients.
Article in Archives of physical medicine and rehabilitation, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
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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
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Postacute Care Setting, Facility Characteristics, and Poststroke Outcomes: A Systematic Review.Archives of physical medicine and rehabilitation · 2018Pooled it
- Racial and ethnic disparities in post-acute care service utilization after stroke.Geriatric nursing (New York, N.Y.)Pooled it
- Post-Acute Rehabilitation Placement After Acute Ischemic Stroke Is Associated With Non-Clinical Factors Despite Similar Clinical Profiles.medRxiv : the preprint server for health sciences · 2026Article
- Comparative Effectiveness of Inpatient Rehabilitation Versus Skilled Nursing Facilities for Stroke and Hip Fracture Patients.Journal of the American Geriatrics Society · 2026Article
- Racial, Ethnic, and Regional Disparities of Post-Acute Service Utilization After Stroke in the United States.Neurology. Clinical practice · 2024Article
- Sex-specific racial and ethnic variations in short-term outcomes among patients with first or recurrent ischemic stroke: Paul Coverdell National Acute Stroke Program, 2016-2020.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024Article
- Referral to Community-Based Rehabilitation Following Acute Stroke: Findings From the COMPASS Pragmatic Trial.Circulation. Cardiovascular quality and outcomes · 2024Observational
- Multiple Chronic Conditions Explain Ethnic Differences in Functional Outcome Among Patients With Ischemic Stroke.Stroke · 2022Article
- Developing a Predictive Tool for Hospital Discharge Disposition of Patients Poststroke with 30-Day Readmission Validation.Stroke research and treatment · 2021Review
- Discharge Patterns for Ischemic and Hemorrhagic Stroke Patients Going From Acute Care Hospitals to Inpatient and Skilled Nursing Rehabilitation.American journal of physical medicine & rehabilitation · 2018Article
- Factors Associated With Accelerated Hospitalization and Re-hospitalization Among Medicare Home Health Patients.The journals of gerontology. Series A, Biological sciences and medical sciences · 2018Article
- Hospital Discharge Disposition of Stroke Patients in Tennessee.Southern medical journal · 2017Article
- Exploring the predictors of early readmission to psychiatric hospital.Epidemiology and psychiatric sciences · 2016Article
- Characteristics of Mexican American elders admitted to nursing facilities in the United States: data from the Hispanic Established Populations for Epidemiologic Studies of the Elderly (EPESE) study.Journal of the American Medical Directors Association · 2013Article
- Decomposing racial and ethnic disparities in the use of postacute rehabilitation care.Health services research · 2012Article
- Disparities in postacute rehabilitation care for stroke: an analysis of the state inpatient databases.Archives of physical medicine and rehabilitation · 2011Article
- For-profit hospital status and rehospitalizations at different hospitals: an analysis of Medicare data.Annals of internal medicine · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo determine whether racial and ethnic effects on bounce-back risk (ie, movement to settings of higher care intensity within 30 d of hospital discharge) in acute stroke patients vary depending on initial posthospital discharge destination.
designRetrospective analysis of administrative data.
settingFour hundred twenty-two hospitals, southern/eastern United States.
participantsAll Medicare beneficiaries 65 years or more with hospitalization for acute ischemic stroke within one of the 422 target hospitals during the years 1999 or 2000 (N=63,679).
interventionsNot applicable.
main outcome measuresAdjusted predicted probabilities for discharge to and for bouncing back from each initial discharge site (ie, home, home with home health care, skilled nursing facility [SNF], or rehabilitation center) by race (ie, black, white, and Hispanic). Models included sociodemographics, comorbidities, stroke severity, and length of stay.
resultsBlacks and Hispanics were significantly more likely to be discharged to home health care (blacks=21% [95% confidence interval (CI), 19.9-22.8], Hispanic=19% [17.1-21.7] vs whites=16% [15.5-16.8]) and less likely to be discharged to SNFs (blacks=26% [95% CI, 23.6-29.3], Hispanics=28% [25.4-31.6] vs whites=33% [31.8-35.1]) than whites. However, blacks and Hispanics were significantly more likely to bounce back when discharged to SNFs than whites (blacks=26% [95% CI, 24.2-28.6], Hispanics=28% [24-32.6] vs whites=21% [20.3-21.9]). Hispanics had a lower risk of bouncing back when discharged home than either blacks or whites (Hispanics=14% [95% CI, 11.3-17] vs blacks=20% [18.4-22.2], whites=18% [16.8-18.3]). Patients discharged to home health care or rehabilitation centers demonstrated no significant differences in bounce-back risk.
conclusionsRacial/ethnic bounce-back risk differs depending on initial discharge destination. Additional research is needed to fully understand this variation in effect.
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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.