Are We Selecting the Right Patients for Stroke Rehabilitation in Nursing Homes?

By | July 13, 2005

Nursing home rehabilitation services following a stroke provide the greatest benefit among persons who are least likely to receive them, according to a study published in the May, 2005 issue of Archives of Physical Medicine and Rehabilitation by Center members Patrick Murray, Neal Dawson, Charles Thomas, and Randall Cebul. “Are We Selecting the Right Patients for Stroke Rehabilitation in Nursing Homes?” describes 2013 persons with stroke admitted to nursing homes in Ohio between 1994 and 1996 and their outcomes, including eventual discharge home and improvement in their functional status. Patients were divided into groups according to their propensity to receive rehab services. Patients who were less likely to receive rehabilitation therapy – including Medicaid patients and those with greater cognitive impairment – had relatively higher rates of community discharge when they actually received such therapy. “Developing better guidelines for selecting stroke patients for rehabilitation services may improve patients` community discharge rates and improve their quality of life while simultaneously lowering overall long-term care costs”, said Dr. Murray.Are We Selecting the Right Patients for Stroke Rehabilitation in Nursing Homes?

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