ArticleArchives of physical medicine and rehabilitation2020
Longer Time Before Acute Rehabilitation Therapy Worsens Disability After Intracerebral Hemorrhage.
Article in Archives of physical medicine and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 22 citations in OpenAlex.
- 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
- Postoperative Rebleeding: The Sword of Damocles in Minimally Invasive Surgery for Intracerebral Hemorrhage.Research (Washington, D.C.) · 2026Review
- Development and validation of a clinical-radiomics nomogram for predicting 180-day functional outcomes in patients with spontaneous thalamic hemorrhage.Neurosurgical review · 2025Article
- Intracranial Hemorrhage-Is Very Early Rehabilitation Safe? A Narrative Review.Journal of clinical medicine · 2024Review
- Characteristics of rehabilitation duration in patients with intracerebral hemorrhage.Brain disorders (Amsterdam, Netherlands) · 2024Article
- The impact on clinical outcomes after 1 year of implementation of an artificial intelligence solution for the detection of intracranial hemorrhage.International journal of emergency medicine · 2023Article
- Clinical and systems of care factors contributing to individual patient decision-making for early mobilization post-stroke.Frontiers in stroke · 2023Article
- Predictive nomogram for soft robotic hand rehabilitation of patients with intracerebral hemorrhage.BMC neurology · 2022Article
- Postacute Rehabilitation Impact on Functional Recovery Outcome and Quality of Life in Stroke Survivors: Six Month Follow-Up.Medicina (Kaunas, Lithuania) · 2022Article
- Comparison of the curative effect and prognosis of stereotactic drainage and conservative treatment for moderate and small basal ganglia haemorrhage.BMC neurology · 2021Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveAssess the association of time to initiation of acute rehabilitation therapy with disability after intracerebral hemorrhage (ICH) and identify predictors of time to initiation of rehabilitation therapy.
designRetrospective data analysis of prospectively collected data from an ongoing observational cohort study.
settingLarge comprehensive stroke center in a metropolitan area.
participantsAdults with ICH consecutively admitted (n=203).
interventionsNot applicable.
main outcome measuresDisability was assessed with the modified Rankin Scale (mRS), with poor outcome defined as mRS 4-6 (dependence or worse). Time to initiation of acute rehabilitation therapy was defined as the number of days between hospital admission and the first consult by any rehabilitation therapy specialist (eg, physical therapy, occupational therapy, speech therapy).
resultsThe median number of days from hospital admission to initiation of acute rehabilitation therapy was 3 (range=2-7). Multivariable logistic regression models indicated that each additional day between admission and initiation of acute rehabilitation therapy was associated with increased odds of poor outcome at 30 days (adjusted odds ratio [OR]=1.151; 95% confidence interval [CI]=1.044-1.268; P=.005) and at 90 days (adjusted OR=1.107; 95% CI=1.003-1.222; P=.044) for patients with ICH. A multivariable linear regression model used to identify the predictors of time to initiation of rehabilitation therapy identified heavy drinking (>5 drinks per day), premorbid mRS<4, presence of pulmonary embolism, and longer length of stay in the intensive care unit as independent predictors of later initiation of acute rehabilitation therapy.
conclusionsLonger time to initiation of acute rehabilitation therapy after ICH may have persistent effects on poststroke disability. Delays in acute rehabilitation therapy consults should be minimized and may improve outcomes after ICH.
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