Evidence map›Paper›PMID 37770846›Full record

Observational studyBMC neurology2023

Effects of functional performance and national health insurance cost on length of hospitalization for postacute care in stroke: a retrospective observational study.

Hsiang-Yun Chou, Shang-Chun Ma, Ya-Wen Tsai, Chia-Li Shih, Chieh-Ting Yeh

Open access · goldAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 76% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

5 authors at 3 institutions in 1 country.

Hsiang-Yun ChouDepartment of Rehabilitation, An Nan Hospital, China Medical University, No. 66, Sec. 2, Changhe Rd., Annan Dist, Tainan, 709204, Taiwan.
Shang-Chun MaInstitute of Physical Education, Health & Leisure Studies, National Cheng Kung University, No. 1, Daxue Rd., East Dist, Tainan, 701401, Taiwan. mshangch@mail.ncku.edu.tw.
Ya-Wen TsaiDepartment of Rehabilitation, An Nan Hospital, China Medical University, No. 66, Sec. 2, Changhe Rd., Annan Dist, Tainan, 709204, Taiwan. 023897@tool.caaumed.org.tw.
Chia-Li ShihDepartment of Rehabilitation, An Nan Hospital, China Medical University, No. 66, Sec. 2, Changhe Rd., Annan Dist, Tainan, 709204, Taiwan.
Chieh-Ting YehDepartment of Nursing, An Nan Hospital, China Medical University, No. 66, Sec. 2, Changhe Rd., Annan Dist, Tainan, 709204, Taiwan.
An-Nan Hospital · TWChina Medical University · TWNational Cheng Kung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe postacute care for cerebrovascular disease (PAC-CVD) program was launched in Taiwan nearly a decade ago. However, no clear regulations regarding length of stay (LOS) in the program and extension standards exist. Thus, the allocation of limited medical resources such as hospital beds is a major issue.

methodsThis novel study retrospectively investigated the effects of functional performance and national health insurance (NHI) costs on PAC-CVD LOS. Data for 263 patients with stroke who participated in the PAC-CVD program were analysed. Hierarchical multiple regression was used to estimate the effects of functional performance and NHI costs on LOS at three time points: weeks 3, 6, and 9.

resultsAt week 3, age, NHI costs, modified Rankin scale score, and Barthel index significantly affected LOS, whereas at week 6, age and NHI costs were significant factors. However, functional performance and NHI costs were not significant factors at week 9.

conclusionsThe study provides crucial insights into the factors affecting LOS in the PAC-CVD program, and the results can enable medical decision-makers and health care teams to develop inpatient rehabilitation plans or provide transfer arrangements tailored to patients. Specifically, this study highlights the importance of early functional recovery and consideration of NHI costs when managing LOS in the PAC-CVD program.

Indexed as

StrokeSubacute CareHospitalizationHumansLength of StayNational Health ProgramsPhysical Functional PerformanceRetrospective StudiesDecision makingDisabilityHealth care allocationHealthcare costsHealth policyPostacute careStroke

Identifiers

PMID37770846
PMCPMC10540458
OpenAlexW4387157353

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.