ArticleMedical care2010
Medicare spending and outcomes after postacute care for stroke and hip fracture.
Article in Medical care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06715098 (Comparison of Robot Assisted Gait Training and Body Weight Supported Treadmill Training in Chronic Stroke Patients Using Gait Analysis and SEMG Measurements), which is not on this map. Cited by 118 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Comparison of Robot Assisted Gait Training and Body Weight Supported Treadmill Training in Chronic Stroke Patients Using Gait Analysis and SEMG Measurements
Who cites it
118 citing papers in PubMed, 5 syntheses or guidelines pooled it, 217 citations in OpenAlex.
- Trends and Disparities in Post-acute Care Utilization After Hospitalization for Sepsis in the United States: A Systematic Review.Medical care · 2026Pooled it
- Effectiveness of post-acute care for patients with cerebral vascular disease in Taiwan between 2014 and 2023: a narrative synthesis.Frontiers in rehabilitation sciences · 2025Pooled it
- Economic burden of stroke: a systematic review on post-stroke care.The European journal of health economics : HEPAC : health economics in prevention and care · 2019Pooled it
- Postacute Care Setting, Facility Characteristics, and Poststroke Outcomes: A Systematic Review.Archives of physical medicine and rehabilitation · 2018Pooled it
- Osteoporotic fractures: a systematic review of U.S. healthcare costs and resource utilization.PharmacoEconomics · 2012Pooled it
- Hospital Readmissions and Mortality Among Fee-for-Service Medicare Patients With Minor Stroke or Transient Ischemic Attack: Findings From the COMPASS Cluster-Randomized Pragmatic Trial.Journal of the American Heart Association · 2021Trial
- Effect of Dextroamphetamine on Poststroke Motor Recovery: A Randomized Clinical Trial.JAMA neurology · 2018Trial
- The Efficacy of Gait Training Using a Body Weight Support Treadmill and Visual Biofeedback in Patients with Subacute Stroke: A Randomized Controlled Trial.BioMed research international · 2018Trial
- Are there gender, racial or relationship differences in caregiver task difficulty, depressive symptoms and life changes among stroke family caregivers?Brain injury · 2015Trial
- Models Containing the Braden Scale Predict Activities of Daily Living Improvement in Post-Stroke Hemiplegia: A Single Center Retrospective Cohort Study.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026Article
- Factors associated with discharge to skilled nursing despite a clinical recommendation for inpatient rehabilitation.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2026Article
- Defining and Measuring Delays in Postacute Care: Toward a Standardized Definition of Rehabilitation Access.Medical care · 2026Article
- Association of Medicare Advantage Enrollment With Post-Acute Care Use and Associated Patient Outcomes.Journal of the American Geriatrics Society · 2026Article
- Comparative Effectiveness of Inpatient Rehabilitation Versus Skilled Nursing Facilities for Stroke and Hip Fracture Patients.Journal of the American Geriatrics Society · 2026Article
- The Case for Aggregated Rehabilitation-Relevant Data Across Health Care Systems and Settings.Physical therapy · 2025Article
- Acute stroke care coordination in the United States: Variation in state laws for Emergency Medical Services and hospitals.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2025Article
- Opioid Use After Hip Fracture and Subsequent Fracture Outcomes: A Self-Controlled Case Series Design.Pharmacoepidemiology and drug safety · 2025Article
- Analgesic regimens administered to older adults receiving skilled nursing facility care following hip fracture: a proof-of-concept federated analysis.BMC geriatrics · 2024Article
- The role of Medicaid home- and community-based services in use of Medicare post-acute care.Health services research · 2024Article
- Challenges of Hip Arthroplasty in a Paretic, Spastic Limb: A Case Study on Managing Femoral Neck Fracture Following Fixation Failure in a Hemiparetic Patient.Journal of clinical medicine · 2024Article
58 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundElderly patients who leave an acute care hospital after a stroke or a hip fracture may be discharged home, or undergo postacute rehabilitative care in an inpatient rehabilitation facility (IRF) or skilled nursing facility (SNF). Because 15% of Medicare expenditures are for these types of postacute care, it is important to understand their relative costs and the health outcomes they produce.
objectiveTo assess Medicare payments for and outcomes of patients discharged from acute care to an IRF, a SNF, or home after an inpatient diagnosis of stroke or hip fracture between January 2002 and June 2003. RESEARCH
designThis is an observational study based on Medicare administrative data. We adjust for observable differences in patient severity across postacute care sites, and we use instrumental variables estimation to account for unobserved patient selection. STUDY OUTCOMES: Mortality, return to community residence, and total Medicare postacute payments by 120 days after acute care discharge.
resultsRelative to discharge home, IRFs improve health outcomes for hip fracture patients. SNFs reduce mortality for hip fracture patients, but increase rates of institutionalization for stroke patients. Both sites of care are far more expensive than discharge to home.
conclusionsWhen there is a choice between IRF and SNF care for stroke and hip fracture patients, the marginal patient is better off going to an IRF for postacute care. However, given the marginal cost of an IRF stay compared with returning home, the gains to these patients should be considered in light of the additional costs.
Indexed as
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What OpenQuestion holds
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.