Back to Search
Start Over
Association Between the Volume of Inpatient Rehabilitation Therapy and the Risk of All-Cause and Cardiovascular Mortality in Patients With Ischemic Stroke
- Source :
- Archives of Physical Medicine and Rehabilitation. 95:269-275
- Publication Year :
- 2014
- Publisher :
- Elsevier BV, 2014.
-
Abstract
- To investigate the relationship between the volume of inpatient rehabilitation therapy and mortality among patients with acute ischemic stroke, as well as to assess whether the association varies with respect to stroke severity.A retrospective study with a cohort of consecutive patients who had acute ischemic stroke between January 1, 2008, and June 30, 2009.Referral medical center.Adults with acute ischemic stroke (N=1277) who were admitted to a tertiary hospital.Not applicable.Stroke-related mortality.During the median follow-up period of 12.3 months (ranging from January 1, 2008, to December 31, 2009), 163 deaths occurred. Greater volume of rehabilitation therapy was associated with a reduced risk of all-cause and cardiovascular mortality (P for trend.001 for both). Compared with the first tertile, the third tertile of rehabilitation volume was associated with a 55% lower risk of all-cause mortality (hazard ratio [HR]=.45; 95% confidence interval [CI], .30-.65) and a 50% lower risk of cardiovascular mortality (HR=.50; 95% CI, .31-.82). The association did not vary with respect to stroke severity (P for interaction = .45 and .73 for all-cause and cardiovascular mortality, respectively).The volume of inpatient rehabilitation therapy and mortality were significantly inversely related in the patients with ischemic stroke. Thus, further programs aimed at promoting greater use of rehabilitation services are warranted.
- Subjects :
- Male
Risk
medicine.medical_specialty
Referral
medicine.medical_treatment
Psychological intervention
Physical Therapy, Sports Therapy and Rehabilitation
Brain Ischemia
Cause of Death
Humans
Medicine
Aged
Retrospective Studies
Inpatients
Rehabilitation
business.industry
Cerebral infarction
Hazard ratio
Stroke Rehabilitation
Retrospective cohort study
medicine.disease
Confidence interval
Stroke
Cardiovascular Diseases
Cohort
Emergency medicine
Physical therapy
Female
business
Subjects
Details
- ISSN :
- 00039993
- Volume :
- 95
- Database :
- OpenAIRE
- Journal :
- Archives of Physical Medicine and Rehabilitation
- Accession number :
- edsair.doi.dedup.....69ee3479aab22c11798e0a4e2858a40e