Evidence map›Paper›PMID 23921200›Full record

ArticleArchives of physical medicine and rehabilitation2014

Regional variation in stroke rehabilitation outcomes.

Timothy A Reistetter, Amol M Karmarkar, James E Graham, Karl Eschbach, Yong-Fang Kuo, Carl V Granger, Jean Freeman, Kenneth J Ottenbacher

Abstract readMulticenter Study
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Sex Differences in the Long-Term Consequences of Stroke.Current topics in behavioral neurosciences · 2023
    Review
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Observational
  14. Article
  15. Article
  16. Length of Stay and Functional Outcomes Among Patients with Stroke Discharged from an Inpatient Rehabilitation Facility in Saudi Arabia.Medical science monitor : international medical journal of experimental and clinical research · 2018
    Article
  17. Article
  18. Variation in Functional Status After Hip Fracture: Facility and Regional Influence on Mobility and Self-Care.The journals of gerontology. Series A, Biological sciences and medical sciences · 2017
    Article
  19. Genetics as a molecular window into recovery, its treatment, and stress responses after stroke.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2016
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Timothy A ReistetterDepartment of Occupational Therapy, University of Texas Medical Branch, Galveston, TX. Electronic address: tareiste@utmb.edu.
Amol M KarmarkarDivision of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX.
James E GrahamDivision of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX.
Karl EschbachSealy Center on Aging and Division of Geriatrics, Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX.
Yong-Fang KuoSealy Center on Aging and Division of Geriatrics, Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX.
Carl V GrangerUniform Data System for Medical Rehabilitation, Buffalo, NY.
Jean FreemanSealy Center on Aging and Division of Geriatrics, Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX.
Kenneth J OttenbacherDivision of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX.

Funding

UTMB OAIC Research Education Component (REC)P30AG024832 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI JAMES S. GOODWIN, MD, MELISSA M. MORROW · 2005 to 2026
$26.7M
UTMB CLINICAL AND TRANSLATIONAL SCIENCE AWARD: NASA BED REST STUDIESUL1RR029876 · NCRR · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2009 to 2011
$17.7M
UTMB Clinical and Translational Science AwardUL1TR000071 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2012 to 2014
$14.4M
Patient Centered Outcomes Research in the ElderlyR24HS022134 · AHRQ · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GOODWIN, MD, JAMES S. · 2013 to 2017
$4.8M
Center for Rehabilitation Research Using Large DatasetsR24HD065702 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI OTTENBACHER, KENNETH J. · 2010 to 2014
$4.0M
Hospital Readmission and Inpatient Medical RehabilitationR01HD069443 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI OTTENBACHER, KENNETH J. · 2012 to 2015
$927k
Regional Variability in Inpatient Rehabilitation among Medicare BeneficiariesK01HD068513 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI REISTETTER, TIMOTHY · 2011 to 2014
$438k
AHRQ HHS 1R24HS022134-01AHRQ HHS R24 HS022134NCATS NIH HHS UL1 TR000071NCATS NIH HHS UL1TR000071NCRR NIH HHS UL1 RR029876NIA NIH HHS P30 AG024832NICHD NIH HHS K01 HD068513NICHD NIH HHS K01-HD068513NICHD NIH HHS R01 HD069443NICHD NIH HHS R01-HD069443NICHD NIH HHS R24 HD065702
6 · The paper itself

Abstract

objectiveTo examine and describe regional variation in outcomes for persons with stroke receiving inpatient medical rehabilitation.

designRetrospective cohort design.

settingInpatient rehabilitation units and facilities contributing to the Uniform Data System for Medical Rehabilitation from the United States.

participantsPatients (N=143,036) with stroke discharged from inpatient rehabilitation during 2006 and 2007.

interventionsNot applicable.

main outcome measuresCommunity discharge, length of stay (LOS), and discharge functional status ratings (motor, cognitive) across 10 geographic service regions defined by the Centers for Medicare and Medicaid Services (CMS).

resultsApproximately 71% of the sample was discharged to the community. After adjusting for covariates, the percentage discharged to the community varied from 79.1% in the Southwest (CMS region 9) to 59.4% in the Northeast (CMS region 2). Adjusted LOS varied by 2.1 days, with CMS region 1 having the longest LOS at 18.3 days and CMS regions 5 and 9 having the shortest at 16.2 days.

conclusionsRehabilitation outcomes for persons with stroke varied across CMS regions. Substantial variation in discharge destination and LOS remained after adjusting for demographic and clinical characteristics.

Indexed as

Stroke RehabilitationAdolescentAdultAgedAged, 80 and overCenters for Medicare and Medicaid Services, U.S.CognitionFemaleHumansInpatientsLength of StayMaleMiddle AgedOutcome Assessment, Health CarePatient DischargePsychomotor PerformanceCenters for Medicare and Medicaid ServicesCICMSconfidence intervalHealth servicesinpatient rehabilitation facilityInpatient Rehabilitation Facility–Patient Assessment InstrumentIRFIRF-PAIlength of stayLOSodds ratioORQuality of health careRehabilitationskilled nursing facilitySNFUDSMRUniform Data System for Medical Rehabilitation

Identifiers

PMID23921200
PMCPMC4006274

What OpenQuestion holds

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Registered trials

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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.