Evidence map›Paper›PMID 26167877›Full record

ArticlePloS one2015

Comparison of Rehabilitation Outcomes for Long Term Neurological Conditions: A Cohort Analysis of the Australian Rehabilitation Outcomes Centre Dataset for Adults of Working Age.

Lynne Turner-Stokes, Roxana Vanderstay, Tara Stevermuer, Frances Simmonds, Fary Khan, Kathy Eagar

Abstract readComparative Study
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

6 authors.

Lynne Turner-StokesKing's College London, School of Medicine, Department of Palliative Care, Policy and Rehabilitation, London, United Kingdom.
Roxana VanderstayKing's College London, School of Medicine, Department of Palliative Care, Policy and Rehabilitation, London, United Kingdom.
Tara StevermuerUniversity of Wollongong, Australasian Rehabilitation Outcomes Centre / Australian Health Services Research Institute, Wollongong, Australia.
Frances SimmondsUniversity of Wollongong, Australasian Rehabilitation Outcomes Centre / Australian Health Services Research Institute, Wollongong, Australia.
Fary KhanUniversity of Melbourne and Royal Melbourne Hospital, Department of Rehabilitation, Melbourne, Australia.
Kathy EagarUniversity of Wollongong, Australasian Rehabilitation Outcomes Centre / Australian Health Services Research Institute, Wollongong, Australia.

Funding

Department of Health RP-PG-0407-10185
6 · The paper itself

Abstract

objectiveTo describe and compare outcomes from in-patient rehabilitation (IPR) in working-aged adults across different groups of long-term neurological conditions, as defined by the UK National Service Framework.

designAnalysis of a large Australian prospectively collected dataset for completed IPR episodes (n = 28,596) from 2003-2012.

methodsDe-identified data for adults (16-65 years) with specified neurological impairment codes were extracted, cleaned and divided into 'Sudden-onset' conditions: (Stroke (n = 12527), brain injury (n = 7565), spinal cord injury (SCI) (n = 3753), Guillain-Barré syndrome (GBS) (n = 805)) and 'Progressive/stable' conditions (Progressive (n = 3750) and Cerebral palsy (n = 196)). Key outcomes included Functional Independence Measure (FIM) scores, length of stay (LOS), and discharge destination.

resultsMean LOS ranged from 21-57 days with significant group differences in gender, source of admission and discharge destination. All six groups showed significant change (p<0.001) between admission and discharge that was likely to be clinically important across a range of items. Significant between-group differences were observed for FIM Motor and Cognitive change scores (Kruskal-Wallis p<0.001), and item-by-item analysis confirmed distinct patterns for each of the six groups. SCI and GBS patients were generally at the ceiling of the cognitive subscale. The 'Progressive/stable' conditions made smaller improvements in FIM score than the 'Sudden-onset conditions', but also had shorter LOS.

conclusionAll groups made gains in independence during admission, although pattern of change varied between conditions, and ceiling effects were observed in the FIM-cognitive subscale. Relative cost-efficiency between groups can only be indirectly inferred. Limitations of the current dataset are discussed, together with opportunities for expansion and further development.

Indexed as

Activities of Daily LivingAdolescentAdultAgedAustraliaBrain InjuriesCerebral PalsyFemaleGuillain-Barre SyndromeHumansLength of StayMaleMiddle AgedNervous System DiseasesProspective StudiesRehabilitation Centers

Identifiers

PMID26167877
PMCPMC4500577

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.