ArticleArchives of physical medicine and rehabilitation2013
Does postacute care site matter? A longitudinal study assessing functional recovery after a stroke.
Article in Archives of physical medicine and rehabilitation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07253974 (Prospective Evaluation of Atrial Fibrillation-Related Stroke Patients in Rehabilitation Program), which is not on this map. Cited by 38 papers, 2 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.
Prospective Evaluation of Atrial Fibrillation-Related Stroke Patients in Rehabilitation Program (PEARL), an Observational Cohort Study. TARGET: Health Virtual Twins for the Personalised Management of Stroke Related to Atrial Fibrillation".
Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled 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
- Postacute Care Setting, Facility Characteristics, and Poststroke Outcomes: A Systematic Review.Archives of physical medicine and rehabilitation · 2018Pooled it
- Aphasia among Medicare fee for service beneficiaries: initial encounter for services and discharge disposition.Aphasiology · 2026Article
- Ethnic Differences in Postacute Stroke Rehabilitation.Archives of physical medicine and rehabilitation · 2026Observational
- 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
- 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
- Stroke Recovery Program Incorporating Moderate-Intensity Aerobic Exercise Provides Sustained Improvement of Function: A 1-Year Follow-Up Study.Archives of rehabilitation research and clinical translation · 2026Article
- Association of Dual Eligibility and Medicare Type With Quality of Postacute Care After Stroke.JAMA network open · 2026Article
- Comparative Effectiveness of Inpatient Rehabilitation Versus Skilled Nursing Facilities for Stroke and Hip Fracture Patients.Journal of the American Geriatrics Society · 2026Article
- Functional recovery trajectories in post-acute stroke care: rethinking the length of stay.BMJ neurology open · 2026Article
- Health-Related Quality of Life in Survivors of Stroke Post Inpatient Rehabilitation Discharged to a Home Setting.Archives of rehabilitation research and clinical translation · 2025Article
- Postacute Discharge Destination and Major Adverse Cardiovascular Events Among Patients With Intracerebral Hemorrhage.Stroke · 2025Article
- Functional improvement for patients with stroke receiving postacute care rehabilitation program.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2024Article
- Targeting Neurogenesis in Seeking Novel Treatments for Ischemic Stroke.Biomedicines · 2023Review
- Outcome Measures and Patient-Reported Metrics in Cancer Rehabilitation.Current oncology reports · 2023Review
- Rehabilitation models that support transitions from hospital to home for people with acquired brain injury (ABI): a scoping review.BMC health services research · 2023Article
- Intensive Rehabilitation Program in Older Adults with Stroke: Therapy Content and Feasibility-Preliminary Results from the BRAIN-CONNECTS Study.International journal of environmental research and public health · 2023Observational
- Sources of Postacute Care Episode Payment Variation After Traumatic Hip Fracture Repair Among Medicare Beneficiaries: Cross-Sectional Retrospective Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Article
- Is the Activity Measure for Postacute Care "6-Clicks" Tool Associated With Discharge Destination Postacute Stroke?Archives of rehabilitation research and clinical translation · 2022Article
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Authors and funding
10 authors.
Funding
Abstract
objectiveTo determine the impact of postacute care site on stroke outcomes.
designProspective cohort study.
settingFour northern California hospitals that are part of a single health maintenance organization.
participantsPatients with stroke (N=222) enrolled between February 2008 and July 2010.
interventionNot applicable.
main outcome measureBaseline and 6-month assessments were performed using the Activity Measure for Post Acute Care (AM-PAC), a test of self-reported function in 3 domains: Basic Mobility, Daily Activities, and Applied Cognition.
resultsOf the 222 patients analyzed, 36% went home with no treatment, 22% received home health/outpatient care, 30% included an inpatient rehabilitation facility (IRF) in their care trajectory, and 13% included a skilled nursing facility (but not IRF) in their care trajectory. At 6 months, after controlling for important variables such as age, functional status at acute care discharge, and total hours of rehabilitation, patients who went to an IRF had functional scores that were at least 8 points higher (twice the minimally detectable change for the AM-PAC) than those who went to a skilled nursing facility in all 3 domains and in 2 of 3 functional domains compared with those who received home health/outpatient care.
conclusionsPatients with stroke may make more functional gains if their postacute care includes an IRF. This finding may have important implications as postacute care delivery is reshaped through health care reform.
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