Evidence map›Paper›PMID 39773227›Full record

ArticleBMC health services research2025

Functional performance of patients with stroke during inpatient rehabilitation: a cross-sectional study of home and access visits.

Melissa J Krauss, Emily Somerville, Callista Poiter, Rebecca M Bollinger, Brianna M Holden, Gabrielle Blenden, Danielle Kretzer, Susan L Stark

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03485820 (COMPASS), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT03485820 nacompletednot on this map

COMPASS: A Novel Transition Program to Reduce Disability After Stroke

TypeinterventionalSponsorWashington University School of MedicineRan2018 to 2024Enrolled185ConditionsIschemic Stroke, Hemorrhagic StrokeArmsCOMPASS, Stroke education
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
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

8 authors.

Melissa J KraussProgram in Occupational Therapy, Washington University in St. Louis School of Medicine, 4444 Forest Park Ave, Box 8505, St. Louis, MO, 63110, USA.
Emily SomervilleProgram in Occupational Therapy, Washington University in St. Louis School of Medicine, 4444 Forest Park Ave, Box 8505, St. Louis, MO, 63110, USA.
Callista PoiterProgram in Occupational Therapy, Washington University in St. Louis School of Medicine, 4444 Forest Park Ave, Box 8505, St. Louis, MO, 63110, USA.
Rebecca M BollingerProgram in Occupational Therapy, Washington University in St. Louis School of Medicine, 4444 Forest Park Ave, Box 8505, St. Louis, MO, 63110, USA.
Brianna M HoldenProgram in Occupational Therapy, Washington University in St. Louis School of Medicine, 4444 Forest Park Ave, Box 8505, St. Louis, MO, 63110, USA.
Gabrielle BlendenProgram in Occupational Therapy, Washington University in St. Louis School of Medicine, 4444 Forest Park Ave, Box 8505, St. Louis, MO, 63110, USA.
Danielle KretzerThe Rehabilitation Institute of St. Louis, St. Louis, MO, USA.
Susan L StarkProgram in Occupational Therapy, Washington University in St. Louis School of Medicine, 4444 Forest Park Ave, Box 8505, St. Louis, MO, 63110, USA. sstark@wustl.edu.

Funding

COMPASS: A NOVEL TRANSITION PROGRAM TO REDUCE DISABILITY AFTER STROKER01HD092398 · NICHD · WASHINGTON UNIVERSITY · PI Susan Lynn Stark · 2017 to 2026
$2.8M
NICHD NIH HHS R01 HD092398NIH HHS 1R01HD092398-01
6 · The paper itself

Abstract

backgroundHome visits prior to inpatient rehabilitation facility (IRF) discharge allow occupational therapists to observe functional abilities among patients with stroke and address barriers that impact daily activities at home. However, home visits prior to IRF discharge are not standard practice due to barriers of time and cost constraints. We explored whether an access visit (visiting the home without the patient) could serve as an alternative to a home visit (with the patient) to anticipate functional abilities at home.

methodsWe used baseline data from a randomized controlled trial that occurred before and during the COVID-19 pandemic, which caused predischarge home visits to be modified to access visits without the participant. Participants had suffered a stroke and were treated in an IRF, aged ≥ 50, with plans to discharge home. International Classification of Functioning, Disability, and Health (ICF) qualifier scores were compared between participants' home/access visits and IRF discharge. ICF scores were compared between predischarge home visits and IRF discharge and between access visits and IRF discharge using Wilcoxon signed-rank tests. Differences in ICF scores between home/access and IRF discharge were compared between home and access visits using linear regression models.

resultsAmong 99 participants (58% men, average 67 years old, 60% Black), 57 received a home visit and 42 received an access visit. Both groups had significantly worse ICF scores at the home/access visit compared to IRF discharge for most activities. Differences in scores between home visit and IRF were significantly greater than between access and IRF for bathing, upper and lower body dressing, bed/chair transfer, walking, and navigating stairs. The largest differences between home and access visits were for walking (β = 1.05 95% CI 0.46 to 1.64) and going up and down stairs (β = 0.87 95% CI 0.25 to 1.49).

conclusionsParticipants with stroke had greater difficulty performing daily activities in both home and access visits than at the IRF, but observed differences were greater for home visits than access visits. While access visits may be beneficial to anticipate functional abilities in the home when home visits cannot occur, visiting the home to directly observe patients' performance is ideal.

trial registrationRegistered on 3/26/2018 at clinicaltrials.gov, NCT03485820.

Indexed as

COVID-19House CallsStroke RehabilitationActivities of Daily LivingAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedOccupational TherapyPatient DischargePhysical Functional PerformanceRandomized Controlled Trials as TopicRehabilitation CentersSARS-CoV-2Activities of daily livingHome visitsOccupational therapyStroke

Identifiers

PMID39773227
PMCPMC11706036

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.