Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 3 , Pages 435-440 , March 2008

Hospital Disposition After Stroke in a National Survey of Acute Cerebrovascular Diseases in Israel

  • Iuly Treger, MD, PhD

      Affiliations

    • Loewenstein Rehabilitation Center, Ra’anana, Israel
    • Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv, Israel.
    • ,
  • Haim Ring, MD, MSc

      Affiliations

    • Loewenstein Rehabilitation Center, Ra’anana, Israel
    • Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv, Israel.
    • Corresponding Author InformationReprint requests to Haim Ring, MD, MSc, Neurological Rehabilitation Dept, Loewenstein Rehabilitation Center, PO Box 3, Ra’anana, 43100, Israel
    • ,
  • Roseline Schwartz, MSc

      Affiliations

    • Neufeld Cardiac Research Institute, Tel-Hashomer, Israel
    • ,
  • Rakefet Tsabari, MD

      Affiliations

    • Neufeld Cardiac Research Institute, Tel-Hashomer, Israel
    • Chaim Sheba Medical Center, Tel Hashomer, Israel
    • ,
  • Nathan M. Bornstein, MD

      Affiliations

    • Department of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
    • Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv, Israel.
    • ,
  • David Tanne, MD

      Affiliations

    • Chaim Sheba Medical Center, Tel Hashomer, Israel
    • Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv, Israel.
    • ,
  • National Acute Stroke Israeli Survey Group

References 

  1. American Heart Association. Heart disease and stroke statistics—2004 update. Dallas: American Heart Association; 2003;
  2. Bentur N, Davies M, Brodsky J. Care of patients with cerebral stroke in general hospitals in Israel: the perspective of professionals. Jerusalem: JDC-Brookdale Institute of Gerontology and Human Development; 1999;
  3. Duncan PW, Zorowitz R, Bates B, et al. Management of adult stroke rehabilitation care: a clinical practice guideline. Stroke. 2005;36:e100–e143
  4. Schlegel DJ, Tanne D, Demchuk AM, Levine SR, Kasner SE Multicenter rt-PA Stroke Survey Group. Prediction of hospital disposition after thrombolysis for acute ischemic stroke using the National Institutes of Health stroke scale. Arch Neurol. 2004;61:1061–1064
  5. Lai SM, Alter M, Friday G, Lai SL, Sobel E. Disposition after acute stroke: who is not sent home from hospital?. Neuroepidemiology. 1998;17(1):21–29
  6. van Exel NJ, Koopmanschap MA, Scholte op Reimer W, Niessen LW, Huijsman R. Cost-effectiveness of integrated stroke services. QJM. 2005;98:415–425
  7. Anderson C, Rubenach S, Mhurchu CN, Clark M, Spencer C, Winsor A. Home or hospital for stroke rehabilitation? Results of a randomized controlled trial: I: health outcomes at 6 months. Stroke. 2000;31:1024–1031
  8. Anderson C, Mhurchu CN, Rubenach S, Clark M, Spencer C, Winsor A. Home or hospital for stroke rehabilitation? Results of a randomized controlled trial: II: cost minimization analysis at 6 months. Stroke. 2000;31:1032–1037
  9. Weiss Z, Snir D, Zohar R, et al. Allocation and preference of patients for domiciliary or institutional rehabilitation after a stroke. Int J Rehabil Res. 2004;27:155–158
  10. Schlegel D, Kolb SJ, Luciano JM, et al. Utility of the NIH stroke scale as a predictor of hospital disposition. Stroke. 2003;34:134–137
  11. Rundek T, Mast H, Hartmann A, et al. Predictors of resource use after acute hospitalization (The Northern Manhattan Stroke Study). Neurology. 2000;55:1180–1187
  12. Ween JE, Mernoff ST, Alexander MP. Recovery rates after stroke and their impact on outcome prediction. Neurorehabil Neural Repair. 2000;14:229–235
  13. Ring H, Schwartz J, Elazar B, et al. Criteria for referral of CVA patients to rehabilitation. Scand J Rehabil Med Suppl. 1985;12:143–147
  14. Tanne D, Goldbourt U, Koton S, et al. National Acute Stroke Israeli Survey Group A national survey of acute cerebrovascular disease in Israel: burden, management, outcome and adherence to guidelines. Isr Med Assoc J. 2006;8:3–7
  15. Brott TG, Adams HP, Olinger CP, et al. Measurements of acute cerebral infarction: a clinical examination scale. Stroke. 1989;20:864–870
  16. Muir KW, Weir CJ, Murray GD, Povey C, Lees KR. Comparison of neurological scales and scoring systems for acute stroke prognosis. Stroke. 1996;27:1817–1820
  17. Duncan PW, Jorgensen HS, Wade DT. Outcome measures in acute stroke trials: a systematic review and some recommendations to improve practice. Stroke. 2000;31:1429–1438
  18. Bonita R, Beaglehole R. Modification of Rankin Scale: recovery of motor function after stroke. Stroke. 1988;19:1497–1500
  19. Ying S, Kuhfeld WR. Multinomial logit models. Proc SAS Users Group Int. 1995;20:1227–1234
  20. Fang J, Alderman M. Trend of stroke hospitalization, United States, 1988–1997. Stroke. 2001;32:2221–2226
  21. Greenberg E, Treger I, Ring H. Post-stroke follow-up in a rehabilitation center outpatient clinic. Isr Med Assoc J. 2004;6:603–606
  22. Dobkin BH. Rehabilitation after stroke. N Engl J Med. 2005;352:1677–1684
  23. Kwakkel G. Impact of intensity of practice after stroke: issues for consideration. Disabil Rehabil. 2006;28:823–830
  24. Langhorne P, Duncan P. Does the organization of postacute stroke care really matter?. Stroke. 2001;32:268–274
  25. Motin M, Streifler J, Tsur A, Ring H. Diagnosis and therapy in acute stroke: a rehabilitation center viewpoint. [Hebrew] Harefuah. 2001;140:1–488
  26. Anderson C, Ni Mhurchu C, Brown PM, Carter K. Stroke rehabilitation services to accelerate hospital discharge and provide home-based care: an overview and cost analysis. Pharmacoeconomics. 2002;20:537–552
  27. Thorsen AM, Holmqvist LW, de Pedro-Cuesta J, von Koch L. A randomized controlled trial of early supported discharge and continued rehabilitation at home after stroke: five-year follow-up of patient outcome. Stroke. 2005;36:297–303
  28. Garraway M. Stroke rehabilitation units: concepts, evaluation, and unresolved issues. Stroke. 1985;16:178–181
  29. Kalra L, Dale P, Crome P. Evaluation of a clinical score for prognostic stratification of elderly stroke patients. Age Ageing. 1994;23:492–499
  30. Dennis M, Langhorne P. So stroke units save lives: where do we go from here?. BMJ. 1994;309:1273–1277
  31. Kalra L, Eade J. Role of stroke rehabilitation units in managing severe disability after stroke. Stroke. 1995;26:2031–2034
  32. Yagura H, Miyai I, Suzuki T, Yanagihara T. Patients with severe stroke benefit most by interdisciplinary rehabilitation team approach. Cerebrovasc Dis. 2005;20:258–263
  33. Ring H, Feder M, Schwartz J, Samuels G. Functional measures of first stroke in-patient rehabilitation: the use of the FIM total score with a clinical rationale. Arch Phys Med Rehabil. 1997;78:630–635
  34. Greenberg E, Treger I, Ring H. Rehabilitation outcomes in brain tumors and stroke: a comparative study of inpatient rehabilitation. Am J Phys Med Rehabil. 2006;85:568–573
  35. Ring H, Shames J. Rehabilitation services funding and rehabilitation outcomes: does one affect the other?. Crit Rev Phys Med Rehabil. 2006;18:173–186

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(07)01744-3

doi: 10.1016/j.apmr.2007.11.001

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 3 , Pages 435-440 , March 2008

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