Postdischarge participation and functional outcomes across three common stroke subtypes based on the exploratory retrospective study.

Shih-Pin Hsu, Jiunn-Horng Kang, Te-Hsun Hung, Yen-Nung Lin, Tsan-Hon Liou, Peng-Sheng Ni, Feng-Hang Chang

Abstract read

In one paragraph

Article in Scientific reports, 2025. 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

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.

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

7 authors.

Shih-Pin HsuGraduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, 10F Biomedical Technology Building, No. 301, Yuantong Rd., Zhonghe Dist., New Taipei City, 23564, Taiwan.

Jiunn-Horng KangDepartment of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, No.252 Wuxing Street, Xinyi Dist., Taipei, Taiwan.

Te-Hsun HungGraduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, 10F Biomedical Technology Building, No. 301, Yuantong Rd., Zhonghe Dist., New Taipei City, 23564, Taiwan.

Yen-Nung LinGraduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, 10F Biomedical Technology Building, No. 301, Yuantong Rd., Zhonghe Dist., New Taipei City, 23564, Taiwan.

Tsan-Hon LiouDepartment of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, No.111, Sec. 3, Xinglong Rd., Wenshan Dist., Taipei, Taiwan.

Peng-Sheng NiHealth Law, Policy, and Management Biostatistics and Epidemiology Data Analytics Center, School of Public Health, Boston University, No.715 Albany St., Boston, MA, USA.

Feng-Hang ChangGraduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, 10F Biomedical Technology Building, No. 301, Yuantong Rd., Zhonghe Dist., New Taipei City, 23564, Taiwan. fhchang@tmu.edu.tw.ORCID http://orcid.org/0000-0002-0711-3644

Funding

National Health Research Institutes NHRI-EX114-11408PINational Science and Technology Council 113-2326-B-038-002-MY3National Science and Technology Council NSTC 113-2811-B-038-025

6 · The paper itself

Abstract

This study investigated the impact of stroke subtypes—ischemic stroke (IS), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH)—on long-term participation and functional outcomes 12 months postdischarge. Datasets from two prospective studies were retrospectively analyzed for adults with these stroke subtypes who received inpatient rehabilitation. Outcomes, including Participation Measure-3 Domains, 4 Dimensions (PM-3D4D), Activity Measure for Post-Acute Care, EuroQol 5-Dimension 3-Level, and Montreal Cognitive Assessment scores, were tracked from hospital discharge up to 12 months. Among 646 patients (256 women, mean age 56.6 years), patients with IS (n = 335) and ICH (n = 288) showed similar postdischarge recovery patterns, whereas patients with SAH (n = 23) generally had poorer outcomes at 12 months. The most substantial difference was observed in productivity frequency scores (a PM-3D4D subdomain), with SAH group exhibiting significantly lower scores (0.04 [0–0.09]) compared to IS (0.39 [0.33–0.45]) and ICH (0.44 [0.37–0.51]) groups (P < 0.001). After adjusting for age and sex, better activity function at discharge was found to be an independent predictor of higher PM-3D4D scores 12 months postdischarge. These findings highlight that SAH is associated with poorer long-term outcomes compared to other subtypes, demonstrate subtype-specific profiles, and suggest activity function as a key target for inpatient rehabilitation to enhance participation postdischarge.

Indexed as

Cerebral HemorrhagePatient DischargeStrokeStroke RehabilitationSubarachnoid HemorrhageAgedFemaleHumansMaleMiddle AgedRecovery of FunctionRetrospective StudiesTreatment OutcomeFunctional outcomePredictionSocial participationStroke subtype

Identifiers

PMID41073474

DOI10.1038/s41598-025-19322-x

PMCPMC12514035

What OpenQuestion holds

Textmetadata

LicenceCC BY-NC-ND

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.