Evidence map›Paper›PMID 30684485›Full record

ArticleArchives of physical medicine and rehabilitation2019

Use of Hospital-Based Rehabilitation Services and Hospital Readmission Following Ischemic Stroke in the United States.

Amit Kumar, Linda Resnik, Amol Karmarkar, Janet Freburger, Deepak Adhikari, Vincent Mor, Pedro Gozalo

Open access · greenAbstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% of its field
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

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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

7 authors at 4 institutions in 1 country.

Amit KumarCollege of Health and Human Services, Northern Arizona University, Flagstaff, Arizona. Electronic address: amit.kumar@nau.edu.
Linda ResnikDepartment of Health Services, Policy & Practices, School of Public Health, Brown University, Providence, Rhode Island; Providence Veterans Affairs Medical Center, Providence, Rhode Island.
Amol KarmarkarUniversity of Texas Medical Branch, Galveston, Texas.
Janet FreburgerSchool of Health and Rehabilitation Science, University of Pittsburgh, Pennsylvania, United States.
Deepak AdhikariDepartment of Health Services, Policy & Practices, School of Public Health, Brown University, Providence, Rhode Island.
Vincent MorDepartment of Health Services, Policy & Practices, School of Public Health, Brown University, Providence, Rhode Island; Providence Veterans Affairs Medical Center, Providence, Rhode Island.
Pedro GozaloDepartment of Health Services, Policy & Practices, School of Public Health, Brown University, Providence, Rhode Island; Providence Veterans Affairs Medical Center, Providence, Rhode Island.
Brown University · USNorthern Arizona University · USThe University of Texas Medical Branch at Galveston · USUniversity of Pittsburgh · US

Funding

VARIATIONS IN LIFE'S FINAL CHAPTERP01AG027296 · NIA · BROWN UNIVERSITY · PI AMAL N. TRIVEDI, Kali St. Marie Thomas · 2007 to 2026
$38.9M
Comparing Access and Effectiveness of Post-Acute Care Settings Among Medicare BeneficiariesK01HD086290 · NICHD · VIRGINIA COMMONWEALTH UNIVERSITY · PI KARMARKAR, AMOL · 2016 to 2020
$636k
Hospital-Based Rehabilitation Services in Older Adults After Hip Fracture and Impact on Health OutcomesR03AG060345 · NIA · NORTHERN ARIZONA UNIVERSITY · PI KUMAR, AMIT · 2018 to 2019
$177k
Association of Timing of Inpatient Rehabilitation in Ischemic Stroke and Health OutcomesR03HD096372 · NICHD · NORTHERN ARIZONA UNIVERSITY · PI KUMAR, AMIT · 2018 to 2019
$160k
NIA NIH HHS P01 AG027296NIA NIH HHS R03 AG060345NICHD NIH HHS K01 HD086290NICHD NIH HHS R03 HD096372
6 · The paper itself

Abstract

objectiveTo examine the association between hospital-based rehabilitation service use and all-cause 30-day hospital readmission among patients with ischemic stroke.

designSecondary analysis of inpatient Medicare claims data using Standard Analytical Files.

settingAcute hospitals across the United States.

participantsFrom nationwide data, Medicare fee-for-service beneficiaries (N=88,826) aged 66 years or older hospitalized for ischemic stroke between January to November 2010.

interventionsHospital-based rehabilitation services were quantified using Medicare inpatient claims revenue center codes for evaluation (occupational therapy [OT] and physical therapy [PT]), as well as the number of therapy units delivered. Therapy minutes for both OT and PT services were categorized into none, low, medium, and high.

main outcome measuresAll-cause 30-day hospital readmission. A generalized linear mixed model was used to examine the effect of hospital-based rehabilitation services on 30-day hospital readmission, after adjusting for patient and hospital characteristics.

resultsIn fully adjusted models, compared to patients who received no PT, we observed a monotonic inverse relationship between the amount of PT and hospital readmission. For low PT (30 minutes), the odds ratio (OR) was 0.90 (95% confidence interval [CI], 0.83-0.96). For medium PT (>30 to ≤75 minutes), the OR was 0.89 (95% CI, 0.82-0.95). For high PT (>75 minutes), the OR was 0.86 (95% CI, 0.80-0.93).

conclusionHospital-based PT services were associated with lower risk of 30-day hospital readmission in patients with ischemic stroke.

Indexed as

HospitalsInpatientsStroke RehabilitationAgedBrain IschemiaFee-for-Service PlansFemaleHumansMaleMedicareOccupational TherapyPatient ReadmissionPhysical Therapy ModalitiesUnited StatesHemiplegiaMedicareOccupational therapyRehabilitation

Identifiers

PMID30684485
PMCPMC6599551
OpenAlexW2912749919

What OpenQuestion holds

Textmetadata
LicenceTDM
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.