Abstract
Objective
To test the hypothesis that functional outcome of patients with stroke who receive
7d/wk of rehabilitation is generally better than that of similar patients who undergo
5 or 6d/wk of rehabilitation.
Design
Retrospective cohort study.
Setting
Acute hospitals.
Participants
From the Japan Rehabilitation Database, which includes data on 8033 patients with
acute stroke collected between January 2005 and December 2013, we included 3072 patients
with stroke who were admitted to the acute hospitals and received 7d/wk of rehabilitation.
Intervention
Seven days per week of rehabilitation was defined as rehabilitation therapy administrated
by a physical or occupational therapist on every weekday, Saturday, and Sunday.
Main Outcome Measure
Favorable functional independence in daily living, defined as a modified Rankin Scale
score of 0 to 2 at the time of discharge.
Results
A total of 1075 (35.0%) patients received 7d/wk of rehabilitation. Univariate analysis
demonstrated a significant difference in favorable functional recovery between the
7d/wk rehabilitation group and non–7d/wk rehabilitation group (43.3% vs 37.6%, respectively;
P=.002). Multivariate logistic regression analysis using the generalized estimating
equations method showed that 7d/wk of rehabilitation was independently associated
with favorable functional recovery.
Conclusions
Our cohort analysis demonstrated that 7d/wk of rehabilitation in early rehabilitation
for patients with acute stroke can lead to functional recovery.
Keywords
List of abbreviations:
LOS (length of stay), mRS (modified Rankin scale)To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: December 12, 2016
Footnotes
Disclosures: none.
Identification
Copyright
© 2016 by the American Congress of Rehabilitation Medicine
