Archives of Physical Medicine and Rehabilitation
Volume 86, Issue 5 , Pages 876-880 , May 2005

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

  • Patrick K. Murray, MD, MS

      Affiliations

    • Center for Health Care Research and Policy, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH
    • Department of Physical Medicine and Rehabilitation, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH
    • Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH.
    • Corresponding Author InformationCorrespondence to Patrick K. Murray, MD, MS, Center for Health Care Research and Policy, MetroHealth Medical Center, 2500 MetroHealth Dr, Cleveland, OH 44109-1998, Reprints are not available from the author.
    • ,
  • Neal V. Dawson, MD

      Affiliations

    • Center for Health Care Research and Policy, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH
    • Department of Medicine, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH
    • Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH.
    • ,
  • Charles L. Thomas, BS

      Affiliations

    • Center for Health Care Research and Policy, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH
    • ,
  • Randall D. Cebul, MD

      Affiliations

    • Center for Health Care Research and Policy, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH
    • Department of Medicine, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH
    • Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH.

References 

  1. Health Care Financing Administration . Health Care Financ Rev Stat Suppl . 2000;23:44
  2. Murray PK , Singer ME , Fortinsky R , Russo L , Cebul RD . Rapid growth of rehabilitation services in traditional community-based nursing homes . Arch Phys Med Rehabil . 1999;80:372–378
  3. Health Care Financing Administration . Health Care Financ Rev Stat Suppl . 1999;22:29
  4. Murray PK , Singer M , Dawson NV , Thomas CL , Cebul RD . Outcomes of rehabilitation services in nursing home residents . Arch Phys Med Rehabil . 2003;84:1129–1136
  5. Detsky AS , O’Rourke K , Corey PN , Johnston N , Fenton S , Jeejeebhoy KN . The hazards of using active clinic patients as a source of subjects for clinical studies . J Gen Intern Med . 1988;3:260–266
  6. In:  Feldman J editors. Minimum Data Set + training manual . Natick: Eliot Pr; 1992;
  7. Gruber-Baldini AL , Zimmerman SI , Mortimore E , Magaziner J . The validity of the minimum data set in measuring the cognitive impairment of persons admitted to nursing homes . J Am Geriatr Soc . 2000;48:1601–1606
  8. Hawes C , Morris JN , Phillips CD , Mor V , Fries BE , Nonemaker S . Reliability estimates for the Minimum Data Set for nursing home resident assessment and care screening (MDS) . Gerontologist . 1995;35:172–178
  9. Mor V . A comprehensive clinical assessment tool to inform policy and practice (applications of the minimum data set) . Med Care . 2004;42(4 Suppl):III50–III59
  10. Williams BC , Li Y , Fries BE , Warren RL . Predicting patient scores between the functional independence measure and the minimum data set (development and performance of a FIM-MDS “crosswalk.”) . Arch Phys Med Rehabil . 1997;78:48–54
  11. D’Agostino RB . Propensity score methods for bias reduction in the comparison of a treatment to a non-randomized control group . Stat Med . 1998;17:2265–2281
  12. Rosenbaum PR , Rubin DB . Reducing bias in observational studies subclassification on the propensity score . J Am Stat Assoc . 1984;79:516–524
  13. Zhang J , Yu KF . What’s the relative risk? A method of correcting the odds ratio in cohort studies of common outcomes . JAMA . 1998;280:1690–1691
  14. Greenland S , Rothman KJ . Introduction to stratified analysis . In:  Rothman KJ ,  Greenland S editor. Modern epidemiology . Philadelphia: Lippincott-Raven; 1998;p. 253–279
  15. Health Care Financing Administration . Health Care Financ Rev Stat Suppl . 1999;22:44
  16. Kane RL , Chen Q , Blewett LA , Sangl J . Do rehabilitative nursing homes improve the outcomes of care? . J Am Geriatr Soc . 1996;44:545–554
  17. Gibson CJ . Epidemiology and patterns of care of stroke patients . Arch Phys Med Rehabil . 1974;55:398–403
  18. Unsworth CA . Selection for rehabilitation (acute care discharge patterns for stroke and orthopaedic patients) . Int J Rehabil Res . 2001;24:103–114
  19. Brott T , Adams HP , Olinger CP , et al.   Measurements of acute cerebral infarction (a clinical examination scale) . Stroke . 1989;20:864–870
  20. Hearst N , Grady D , Barron HV , Kerlikowske  . Research existing data . In:  Hulley SB ,  Cummings SR ,  Browner WS ,  Grady D ,  Hearst N ,  Newman TB editor. Designing clinical research . Philadelphia: Lippincott Williams & Wilkins; 2001;p. 195–210
  21. Changes in new admissions to Ohio nursing homes following the implementation of the RUG-III Reimbursement System: 1994–5. MEDTAPP Program. Columbus: Ohio Dept of Human Services; Sept 1998.
  22. Morris JN , Fries BE , Mehr DR , et al.   MDS Cognitive Performance Scale . J Gerontol . 1994;49:M174–M182

 Supported by the Ohio Board of Regents and the Agency for Health Care Policy and Research (grant no. 5 T32 HS00059-04).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the author(s) or on any organization with which the author(s) is/are associated.

PII: S0003-9993(05)00014-6

doi: 10.1016/j.apmr.2004.10.045

Archives of Physical Medicine and Rehabilitation
Volume 86, Issue 5 , Pages 876-880 , May 2005

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