ArticlePhysical therapy2019
Variation in Hospital-Based Rehabilitation Services Among Patients With Ischemic Stroke in the United States.
Article in Physical therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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.
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Who cites it
24 citing papers in PubMed.
- Associations Between Social Drivers of Health and Intervention Reach During Implementation of a Supervised Walking Program.Medical care · 2026Observational
- Timing and Intensity of Rehabilitation Services During Acute Stroke Hospitalization: Impacts on Functional Recovery and Community Discharge.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2026Observational
- Cognitive Impairments and Health System Outcomes in Inpatient Rehabilitation: A Comparison of Patients With Stroke and Those With Type II Diabetes Mellitus.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2026Observational
- Influence of social determinants of health on post-acute use and outcome: a scoping review.Health affairs scholar · 2026Review
- Association of Dual Eligibility and Medicare Type With Quality of Postacute Care After Stroke.JAMA network open · 2026Article
- Article
- Content Analysis of Assessment Tools Used in Post-Stroke Rehabilitation: A Scoping Review with Linkage to the International Classification of Functioning.International journal of environmental research and public health · 2025Article
- Increasing Methodological Transparency and Openness in Rehabilitation-Related Health Services Research Using Claims Data: A Case Example.Physical therapy · 2025Article
- Differences in rehabilitation evaluation access for rural and socially disadvantaged stroke survivors.Topics in stroke rehabilitation · 2024Article
- Regional variation in length of stay for stroke inpatient rehabilitation in traditional Medicare and Medicare Advantage.Health affairs scholar · 2024Article
- Social Determinants of Health and Delivery of Rehabilitation to Older Adults During ICU Hospitalization.JAMA network open · 2024Article
- The effect of post-acute rehabilitation setting on 90-day mobility after stroke: A difference-in-difference analysis.medRxiv : the preprint server for health sciences · 2024Article
- Post-Acute Care in Inpatient Rehabilitation Facilities Between Traditional Medicare and Medicare Advantage Plans Before and During the COVID-19 Pandemic.Journal of the American Medical Directors Association · 2023Article
- Inpatient rehabilitation therapy in stroke patients with reperfusion therapy: a national prospective registry study.BMC neurology · 2023Article
- Effect of Variation in Early Rehabilitation on Hospital Readmission After Hip Fracture.Physical therapy · 2023Article
- Article
- Making the Case for Patient-Reported Outcome Measures in Big-Data Rehabilitation Research: Implications for Optimizing Patient-Centered Care.Archives of physical medicine and rehabilitation · 2022Article
- Impact of Hospital-Based Rehabilitation Services on Discharge to the Community by Value-Based Payment Programs After Joint Replacement Surgery.Physical therapy · 2022Article
- Patients' and professionals' perspectives on the consideration of patients' convenient therapy periods as part of personalised rehabilitation: a focus group study with patients and therapists from inpatient neurological rehabilitation.BMC health services research · 2022Article
- Association of Medicare-Medicaid Dual Eligibility and Race and Ethnicity With Ischemic Stroke Severity.JAMA network open · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundLittle is known about variation in use of rehabilitation services provided in acute care hospitals for people who have had a stroke.
objectiveThe objective was to examine patient and hospital sources of variation in acute care rehabilitation services provided for stroke.
designThis was a retrospective, cohort design.
methodsThe sample consisted of Medicare fee-for-service beneficiaries with ischemic stroke admitted to acute care hospitals in 2010. Medicare claims data were linked to the Provider of Services file to gather information on hospital characteristics and the American Community Survey for sociodemographic data. Chi-square tests compared patient and hospital characteristics stratified by any rehabilitation use. We used multilevel, multivariable random effect models to identify patient and hospital characteristics associated with the likelihood of receiving any rehabilitation and with the amount of therapy received in minutes.
resultsAmong 104,295 patients, 85.2% received rehabilitation (61.5% both physical therapy and occupational therapy; 22.0% physical therapy only; and 1.7% occupational therapy only). Patients received 123 therapy minutes on average (median [SD] = 90.0 [99.2] minutes) during an average length of stay of 4.8 [3.5] days. In multivariable analyses, male sex, dual enrollment in Medicare and Medicaid, prior hospitalization, ICU stay, and feeding tube were associated with lower odds of receiving any rehabilitation services. These same variables were generally associated with fewer minutes of therapy. Patients treated by tissue plasminogen activator, in limited-teaching and nonteaching hospitals, and in hospitals with inpatient rehabilitation units, were more likely to receive more therapy minutes. LIMITATION: The findings are limited to patients with ischemic stroke.
conclusionOnly 61% of patients with ischemic stroke received both physical therapy and occupational therapy services in the acute setting. We identified considerable variation in the use of rehabilitation services in the acute care setting following a stroke.
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