Evidence map›Paper›PMID 41234381›Full record

ArticleHealth science reports2025

What Is the Optimal Length of Stay for Effective Inpatient Neurorehabilitation? A Retrospective Cohort Study.

Elham Loni, Mohammad Sayadnasiri, Nazila Akbarfahimi, Mehdi Basakha, Razieh Bidhendi-Yarandi

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Article in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

  1. Article
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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.

Elham LoniClinical Research Development Center of Rofeideh Rehabilitation Hospital University of Social Welfare and Rehabilitation Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-8099-1275
Mohammad SayadnasiriClinical Research Development Center of Rofeideh Rehabilitation Hospital University of Social Welfare and Rehabilitation Sciences Tehran Iran.
Nazila AkbarfahimiClinical Research Development Center of Rofeideh Rehabilitation Hospital University of Social Welfare and Rehabilitation Sciences Tehran Iran.
Mehdi BasakhaSocial Determinants of Health Research Center, Social Health Research Institute University of Social Welfare and Rehabilitation Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-2360-7492
Razieh Bidhendi-YarandiDepartment of Biostatistics and Epidemiology, School of Social Health University of Social Welfare and Rehabilitation Sciences Tehran Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: The length of stay (LOS) in inpatient rehabilitation varies significantly and remains ambiguous. Therefore, we sought to determine the optimal length of inpatient rehabilitation. Methods: This retrospective cohort study was conducted at a specialized inpatient rehabilitation hospital. Clinical data from 258 patients with neurological disorders, including stroke, spinal cord injury, and multiple sclerosis, were collected and analyzed. The primary outcome measure was the change in patients' functional status as assessed by the Functional Independence Measure (FIM). FIM scores were recorded at 21-day intervals throughout the hospitalization period. To evaluate the effectiveness of inpatient rehabilitation over time, trends in FIM score changes were examined using effect size calculations. Additionally, Generalized Estimating Equations (GEE) were employed to analyze repeated measures and account for intra-subject correlations across the different time points. Result: In spinal cord injury (SCI) survivors, the trend of improvement continued with significant effectiveness:1.847 (95% CI: 1.445, 2.249), 3.320 (95% CI: 2.495, 4.144) and 3.036 (95% CI: 1.426, 4.645) during the first, second and discharge assessments, respectively, compared to Admission time. Patients with multiple sclerosis (MS) shown significant effectiveness only during the first 21-day period: 1.276 (95% CI: 0.723, 1.830). Stroke survivors also showed significantly improved their FIM over the three 21-day periods: first period:1.637 (95% CI: 1.284, 1.990), second period: 2.952 (95% CI: 2.106, 3.802), and discharge:3.804 (95% CI: 2.944, 4.668). Conclusions: LOS exceeding 42 days resulted in a significant increase in the FIM scores of stroke patients. However, an extended stay of 21 days in the MS group and 42 days in the SCI group did not demonstrate significant improvement.

Indexed as

inpatient rehabilitationlength of staymultiple sclerosisspinal cord injurystroke

Identifiers

PMID41234381
PMCPMC12606014

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