Article| Volume 67, ISSUE 5, P319-321, May 1986

Early intervention care in the acute stroke patient

      This paper is only available as a PDF. To read, Please Download here.


      Early intervention care has been identified as an important factor in the functional outcome of patients with completed stroke. Little has been published, however, on the efficacy of early intervention in the acute hospital setting. In a retrospective study of 30 patients in an acute care hospital, there was a statistically significant difference in length of stay and ambulatory status (p<0.05) for the group receiving rehabilitation treatment within the first 72 hours after admission. There was no significant difference between the two groups with regard to age, sex, site of lesion, or previous cardiovascular disease. The present study indicates that early intervention shortens hospital stay and improves outcome, considerations especially important with the adoption of Diagnosis-Related Groups (DRGs), as hospitals seek measures of cost-containment in the provision of quality cost-effective health care.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Archives of Physical Medicine and Rehabilitation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Adler M.K.
        • Brown Jr, C.C.
        • Acton P
        Stroke rehabilitation—Is age a determinant?.
        J Am Geriatr Soc. 1980; 28: 499-503
        • Anderson E
        • Anderson T.P.
        • Kottke F.J.
        Stroke rehabilitation: maintenance of achieved gains.
        Arch Phys Med Rehabil. 1977; 58: 345-352
        • Anderson T.P.
        • Baldridge M
        • Ettinger M.G.
        Quality of care for completed stroke without rehabilitation: evaluation by assessing patient outcomes.
        Arch Phys Med Rehabil. 1979; 60: 103-107
        • Anderson T.P.
        • Bourestom N
        • Greenberg F.R.
        • Hildyard V.G.
        Predictive factors in stroke rehabilitation.
        Arch Phys Med Rehabil. 1974; 55: 545-553
        • Anderson T.P.
        • Kottke F.J.
        Stroke rehabilitation: reconsideration of some common attitudes.
        Arch Phys Med Rehabil. 1978; 59: 175-181
        • Anderson T.P.
        • McClure W.J.
        • Athelstan G
        • Anderson E
        • Crewe N
        • Arndts L
        • Ferguson M.B.
        • Baldndge M
        • Gullickson Jr, G
        • Kottke F.J.
        Stroke rehabilitation: evaluation of its quality by assessing patient outcomes.
        Arch Phys Med Rehabil. 1978; 59: 170-175
        • Boyle R.W.
        • Scalzitti P.D.
        Study of 480 consecutive cases of cerebral vascular accident.
        Arch Phys Med Rehabil. 1963; 44: 19-28
        • Chaudhuri G
        Rehabilitation of stroke patient.
        Geriatrics. 1980; 35: 45-46
        • Chaudhuri G
        Rehabilitation of stroke patient.
        Geriatrics. 1980; 35: 49-50
        • Chaudhuri G
        Rehabilitation of stroke patient.
        Geriatrics. 1980; 35: 54
        • Eazell D.E.
        • Johnston M.V.
        Cost Benefits of Stroke Rehabilitation.
        NARF Monograph Series 4. 1981;
        • Feigenson J.S.
        Stroke rehabilitation: effectiveness, benefits and cost: some practical considerations.
        Stroke. 1979; 10: 1-4
        • Feigenson J.S.
        Stroke rehabilitation: outcome studies and guide lines for alternative levels of care.
        Stroke. 1981; 12: 372-375
        • Feigenson J.S.
        • McCarthy M.L.
        • Meese P.D.
        • Feigenson W.D.
        • Greenberg S.D.
        • Rubin E
        • McDowell F.H.
        Stroke rehabilitation: I factors predicting outcome and length of stay —Overview.
        NY State J Med. 1977; 77: 1426-1430
        • Feigenson J.S.
        • McCarthy M.L.
        II Guidelines for establishing stroke rehabilitation unit.
        NY State J Med. 1977; 77: 1430-1434
        • Feigenson J.S.
        • McDowell F.H.
        • Meese P
        • McCarthy M.L.
        • Greenberg S.D.
        Factorss influencing outcome and length of stay in stroke rehabilitation unit—Part I Analysis of 248 unscreened patients—medical and functional prognostic indicators.
        Stroke. 1977; 8: 651-656
        • Feigenson J.S.
        • McCarthy M.I.
        • Greenberg S.D.
        • Feigen son W.D.
        (same title) Part 2 Comparison of 318 sereened and 248 unsereened patients.
        Stroke. 1977; 8: 657-662
        • Isaac S
        • Michael W.B.
        Handbook in Research and Evaluation.
        Ed 2. Edits, San Diego1981
        • Kottke F.J.
        Historia obscura hemiplegiac.
        Arch Phys Med Rehabil. 1974; 55: 4-13
        • Nie N.H.
        • et al.
        SPSS: Statistical Package for Social Sciences.
        Ed 2. McGraw-Hill, New York1975
        • Redford J.B.
        • Harris J.D.
        Rehabilitation of elderly stroke patient.
        Am Fam Physician. 1980; 22: 153-160
        • Tatsuoka M.M.
        Discriminant Analysis.
        IPAT, Champaign, IL1970
        • Truscott B.L.
        • Kretschmann C.M.
        • Toole J.F.
        • Pajak T.F.
        Early rehabilitative care in community hospitals effect on quality of survivorship following stroke.
        Stroke. 1974; 5: 623-629
        • Waylonis G.W.
        • Keith M.W.
        • Aseff J.N.
        Stroke rehabilitation in midwestern county.
        Arch Phys Med Rehabil. 1973; 54: 151-155