Evidence map›Paper›PMID 42499513›Full record

ArticleStroke research and treatment2026

Factors Associated With Continuum of Acute to Postacute Care in Stroke.

Charmi Kanani, Julia Mitchell, Amit Kumar, Amol M Karmarkar

Abstract read
In one paragraph

Article in Stroke research and treatment, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Charmi KananiDepartment of Physical Medicine and Rehabilitation, and Center for Rehabilitation Science and Engineering, School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA, vcu.edu.ORCID https://orcid.org/0009-0005-4750-2117
Julia MitchellSchool of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA, vcu.edu.ORCID https://orcid.org/0000-0001-6002-4459
Amit KumarDepartment of Physical Therapy, University of Utah, Salt Lake City, Utah, USA, utah.edu.ORCID https://orcid.org/0000-0002-0125-6759
Amol M KarmarkarDepartment of Physical Medicine and Rehabilitation, and Center for Rehabilitation Science and Engineering, School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA, vcu.edu.ORCID https://orcid.org/0000-0001-8355-1585

Funding

Wright Regional Center for Clinical and Translational ScienceUM1TR004360 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI FREDERICK Gerard MOELLER · 2023 to 2026
$16.3M
Race and Medicare-Medicaid Dual Enrollment Disparities in Access to Quality and Intensity of Post-Acute Rehabilitation Care and Health Outcomes in Patients with StrokeR01MD017719 · NIMHD · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Amit Kumar · 2022 to 2026
$2.8M
NCATS NIH HHS UM1 TR004360NIMHD NIH HHS R01 MD017719
6 · The paper itself

Abstract

Background: Acute to postacute care continuum for individuals with stroke significantly influences functional recovery, quality of life, and healthcare utilization. Prior studies have focused largely on older adults with stroke, limiting generalizability for the younger population. Objective: This study is aimed at identifying patient- and hospital-level factors associated with postacute discharge destination following acute stroke hospitalization. Design: This study is a retrospective cohort study. Setting: This study was set in acute care hospitals in Virginia (2017-2021). Participants: Participants are adults ≥ 18 years hospitalized with a primary diagnosis of ischemic or hemorrhagic stroke identified in the Virginia All-Payer Claims Database. Interventions: There were no interventions applicable. Main Outcomes: Postacute care discharge destination was categorized as home, home health, skilled nursing facility (SNF), inpatient rehabilitation facility (IRF), or other. Patient-level variables included age, sex, race, insurance, comorbidity burden, stroke type, length of stay, and hospital-acquired complications. Facility-level variables included hospital size, ownership, stroke center status, and county-level clinical care rankings. Multivariable logistic regression models estimated associations between patient and hospital factors and postacute care discharge destination. Results: Older age, higher comorbidity burden, presence of hospital-acquired complications, and longer length of stay were associated with increased likelihood of discharge to post-acute care, particularly IRF and SNF. Male patients were less likely than females to be discharged to home health (OR = 0.90, 95 Conclusions: Postacute care after stroke is associated with both clinical complexity and sociodemographic factors. These findings highlight potential differences and variations in postacute care and support the need for standardized discharge processes that can integrate medical and social determinants of health to optimize long-term recovery.

Indexed as

continuum of carepostacute carestrokevariation

Identifiers

PMID42499513
PMCPMC13397468

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.