SynthesisClinical rehabilitation2019
What factors affect clinical decision-making about access to stroke rehabilitation? A systematic review.
Synthesis in Clinical rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis 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.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- Artificial Intelligence-Based Wearable Robotic Exoskeletons for Upper Limb Rehabilitation: A Review.Sensors (Basel, Switzerland) · 2021Pooled it
- Coproducing an intervention to support stroke unit staff to provide information about recovery to patients and carers.PEC innovation · 2026Article
- Factors influencing clinical decision-making in inpatient rehabilitation: A scoping review.Clinical rehabilitation · 2026Article
- Overview of Rehabilitation in Low- and Middle-Income Countries.Rwanda journal of medicine and health sciences · 2026Article
- Systematic data management for effective AI-driven decision support systems in robotic rehabilitation.Scientific reports · 2025Article
- Factors Influencing Physicians' Referral Decision-Making for Rehabilitation Outpatient Services in the Health Care Landscape of China: Cross-Sectional Study.Interactive journal of medical research · 2025Article
- Experiences and needs of older patients with stroke in China involved in rehabilitation decision-making: a qualitative study.BMC medical informatics and decision making · 2024Article
- Experiences and preferences of people with stroke and caregivers, around supports provided at the transition from hospital to home: a qualitative descriptive study.BMC neurology · 2024Article
- Referral to Community-Based Rehabilitation Following Acute Stroke: Findings From the COMPASS Pragmatic Trial.Circulation. Cardiovascular quality and outcomes · 2024Observational
- Stroke rehabilitation: from diagnosis to therapy.Frontiers in neurology · 2024Review
- Effects of functional performance and national health insurance cost on length of hospitalization for postacute care in stroke: a retrospective observational study.BMC neurology · 2023Observational
- Influence of mild cognitive impairment on patient and care partner decision-making for acute ischemic stroke.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2023Article
- Defining ready for discharge from sub-acute care: a qualitative exploration from multiple stakeholder perspectives.BMC health services research · 2023Article
- Inpatient rehabilitation therapy in stroke patients with reperfusion therapy: a national prospective registry study.BMC neurology · 2023Article
- Efficacy and Cost over 12 Hospitalization Weeks of Postacute Care for Stroke.International journal of environmental research and public health · 2023Article
- Successful Community Discharge Among Older Adults With Traumatic Brain Injury Admitted to Inpatient Rehabilitation Facilities.Archives of rehabilitation research and clinical translation · 2022Article
- Development of a Minimum Reporting Set of Contextual Factors for Rehabilitation Studies: A Delphi Study.Journal of rehabilitation medicine · 2022Article
- The Wolfson Assessment Matrix: a potential tool to support clinicians in establishing access to specialized neuro rehabilitation by capturing important prognostic factors. Sharing more equitable and transparent criteria.European journal of physical and rehabilitation medicine · 2022Observational
- Factors Associated with Transfer from an Acute Geriatric Unit to a Post-Acute Care Facility among Community-Dwelling Patients: Results from the DAMAGE Cohort.Clinical interventions in aging · 2022Article
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Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectives: To determine the factors affecting clinical decision-making about which patients should receive stroke rehabilitation.
methods: Data sources (MEDLINE, CINAHL, AMED and PsycINFO) were searched systematically from database inception to August 2018. Full-text English-language studies of data from stroke clinicians were included. Studies of patients were excluded. The included studies were any design focussed on clinical decision-making for referral or admission into stroke rehabilitation. Summary factors were compiled from each included study. The quality of the included studies was assessed using the Mixed Methods Appraisal Tool.
results: After removing duplicates, 1915 papers were identified, of which 13 met the inclusion criteria. Eight included studies were qualitative and one used mixed methods. A total of 292 clinicians were included in the studies. Quality of the included studies was mixed. Patient-level and organizational factors as well as characteristics of individual clinicians contributed to decisions about rehabilitation. The most often described factors were patients' pre- and poststroke function ( n = 6 studies), presence of dementia ( n = 6), patients' social/family support ( n = 6), organizational service pressures ( n = 7) and the decision-making clinician's own knowledge ( n = 5) and emotions ( n = 5).
conclusion: The results highlight a lack of clinical guidance to aid decision-making and reveal that a subjective approach to rehabilitation decision-making influenced by patient-level and organizational factors alongside clinicians' characteristics occurs across services and countries.
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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.