Evidence map›Paper›PMID 35896786›Full record

ArticleScientific reports2022

A multicenter study to compare the effectiveness of the inpatient post acute care program versus traditional rehabilitation for stroke survivors.

Ke-Vin Chang, Kai-Hua Chen, Ying-Hsun Chen, Wei-Chih Lien, Wei-Han Chang, Chung-Liang Lai, Cheng-Che Wu, Chia-Hsin Chen, Yu-Hsin Chen, Wei-Ting Wu and 2 more

Erratum issuedOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Integrated care management for patients following acute stroke: a systematic review.QJM : monthly journal of the Association of Physicians · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Review
  9. Efficacy and Cost over 12 Hospitalization Weeks of Postacute Care for Stroke.International journal of environmental research and public health · 2023
    Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 1 country.

Ke-Vin ChangDepartment of Physical Medicine and Rehabilitation, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung Shan S. Rd., Zhongzheng Dist., Taipei, 100, Taiwan.
Kai-Hua ChenDepartment of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Ying-Hsun ChenDepartment of Rehabilitation Medicine, Taipei City Hospital, Renai Branch, Taipei, Taiwan.
Wei-Chih LienDepartment of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Wei-Han ChangDepartment of Physical Medicine and Rehabilitation, Taoyuan Chang Gung Memorial Hospital, Taoyüan, Taiwan.
Chung-Liang LaiDepartment of Physical Medicine and Rehabilitation, Puzi Hospital, Ministry of Health and Welfare, Chiayi, Taiwan.
Cheng-Che WuDepartment of Physical Medicine and Rehabilitation, Sinwu Branch, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyüan, Taiwan.
Chia-Hsin ChenSchool of Post-Baccalaureate Medicine, College of Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Yu-Hsin ChenDepartment of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, No. 87, Neijiang Street., Wanhua District, Taipei, 108, Taiwan.
Wei-Ting WuDepartment of Physical Medicine and Rehabilitation, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung Shan S. Rd., Zhongzheng Dist., Taipei, 100, Taiwan.
Tyng-Guey WangDepartment of Physical Medicine and Rehabilitation, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung Shan S. Rd., Zhongzheng Dist., Taipei, 100, Taiwan. tgw@ntu.edu.tw.
Der-Sheng HanDepartment of Physical Medicine and Rehabilitation, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung Shan S. Rd., Zhongzheng Dist., Taipei, 100, Taiwan. dshan1121@yahoo.com.tw.
National Taiwan University Hospital · TWChang Gung University · TWKaohsiung Medical University Chung-Ho Memorial Hospital · TWMinistry of Health and Welfare · TWNational Cheng Kung University · TWTaipei City Hospital · TWTaoyuan Chang Gung Memorial Hospital · TWTao Yuan General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is insufficient evidence to prove the effect of the Post-acute Care (PAC) program on post-stroke recovery. This study aimed to determine the effectiveness of the PAC versus traditional inpatient rehabilitation (non-PAC) for middle- and old-aged stroke survivors. This multicenter cohort study enrolled 334 stroke patients admitted for post-stroke rehabilitation. The outcome variables included the Barthel Index (BI), Functional Oral Intake Scale (FOIS), Mini Nutritional Assessment-Short Form (MNA-SF), EuroQoL-5D (EQ-5D), Lawton-Brody Instrumental Activities of Daily Living (ADL) Scale, and Mini-Mental State Examination (MMSE). The inverse-probability-of-treatment-weighting method was used to analyze the differences in outcomes between the PAC and non-PAC groups. The PAC group showed better improvements in BI, MNA-SF, EQ-5D, Instrumental ADL, and MMSE compared to the non-PAC group, with differences in effect sizes of 0.54 (95% confidence interval [CI] 0.38-0.71), 0.26 (95% CI 0.10-0.42), 0.50 (95% CI 0.33-0.66), 0.44 (95% CI 0.28-0.60) and 0.34 (95% CI 0.17-0.50), respectively. The PAC project showed more improvement in basic and instrumental ADL and status of swallowing, nutrition, and cognition than those of non-PAC, which had less length of stay restricted by the National Health Insurance. More studies are warranted to investigate the influence of hospital stay and duration from stroke onset on the PAC's effectiveness.

Indexed as

StrokeStroke RehabilitationActivities of Daily LivingAgedCohort StudiesHumansInpatientsMiddle AgedSubacute CareSurvivors

Identifiers

PMID35896786
PMCPMC9329354
OpenAlexW4288752013

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.