- •Among participating United States hospitals, most stroke survivors were discharged to:
- •The post-acute care destination deemed most appropriate by discharge planners and physical therapists.
- •Deciding to discharge patients to less intensive care settings than preferred was:
- •Mostly attributed to patient or family preference.
- •Sparingly attributed to insurance or other limitations.
Main Outcome Measures
List of abbreviations:DP (discharge planner), GWTG-Stroke (Get With The Guidelines-Stroke), ICH (intracerebral hemorrhage), IQR (interquartile range), IRF (inpatient rehabilitation facilities), LTACH (long-term acute care hospital), NECC (Northeast Cerebrovascular Consortium), NIHSS (National Institutes of Health Stroke Scale), PT (physical therapist), SNF (skilled nursing facilities)
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:Subscribe to Archives of Physical Medicine and Rehabilitation
- Heart disease and stroke statistics-2018 update: a report from the American Heart Association.Circulation. 2018; 137: e67-492
- Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association.Stroke. 2016; 47: e98-169
- Readmission and death after hospitalization for acute ischemic stroke: 5-year follow-up in the Medicare population.Stroke. 2007; 38: 1899-1904
- Five-year rehospitalization outcomes in a cohort of patients with acute ischemic stroke: Medicare linkage study.Stroke. 2011; 42: 1556-1562
- Poor outcome after first-ever stroke: predictors for death, dependency, and recurrent stroke within the first year.Stroke. 2003; 34: 122-126
- One-year all-cause mortality after stroke: a prediction model.PM R. 2014; 6: 473-483
- Post-acute care and ischemic stroke mortality: Findings from an integrated health care system in Northern California.PM R. 2011; 3: 686-694
- Functional outcomes of posthospital care for stroke and hip fracture patients under Medicare.J Am Geriatr Soc. 1998; 46: 1525-1533
- Does post-acute care site matter? A longitudinal study assessing functional recovery after a stroke.Arch Phys Med Rehabil. 2013; 94: 622-629
- Medicare spending and outcomes after postacute care for stroke and hip fracture.Med Care. 2010; 48: 776-784
- Comparison of functional status improvements among patients with stroke receiving postacute care in inpatient rehabilitation vs skilled nursing facilities.JAMA Netw Open. 2019; 2e1916646
- Postacute care setting, facility characteristics, and poststroke outcomes: a systematic review.Arch Phys Med Rehabil. 2018; 99: 1124-1140
- Physiatrist referral preferences for post acute stroke rehabilitation.Medicine (Baltimore). 2016; 95e4356
- Use of a standardized assessment to predict rehabilitation care after acute stroke.Arch Phys Med Rehabil. 2015; 96: 210-217
- The role of patient demographics and clinical presentation in predicting discharge placement after inpatient stroke rehabilitation: analysis of a large, US data base.Disabil Rehabil. 2013; 35: 990-994
- Selection for inpatient rehabilitation after acute stroke: a systematic review of the literature.Arch Phys Med Rehabil. 2011; 92: 2057-2070
- Variation in hospital-based rehabilitation services among patients with ischemic stroke in the United States.Phys Ther. 2019; 99: 494-506
- Selecting patients for rehabilitation after acute stroke: are there variations in practice?.Arch Phys Med Rehabil. 2010; 91: 788-793
- How much is post-acute care use affected by its availability?.Health Serv Res. 2005; 40: 413-434
- Projecting function of stroke patients in rehabilitation using the AlphaFIM instrument in acute care.PM R. 2009; 1: 234-239
- Factors predictive of stroke outcome in a rehabilitation setting.Neurology. 1996; 47: 388-392
- Prediction of functional outcome after stroke rehabilitation.Am J Phys Med Rehabil. 2000; 79: 513-518
- Stroke rehabilitation outcome: a potential use of predictive variables to establish levels of care.Stroke. 1994; 25: 128-134
- Selection of post-acute stroke rehabilitation facilities: a survey of discharge planners from the Northeast Cerebrovascular Consortium (NECC) region.Medicine (Baltimore). 2016; 95e3206
- Regional implementation of the stroke systems of care model: recommendations of the Northeast Cerebrovascular Consortium.Stroke. 2009; 40: 1793-1802
- Get With the Guidelines-Stroke is associated with sustained improvement in care for patients hospitalized with acute stroke or transient ischemic attack.Circulation. 2009; 119: 107-115
- Data quality in the American Heart Association Get With The Guidelines-Stroke (GWTG-Stroke): results from a national data validation audit.Am Heart J. 2012; 163: 392-398
2015 Definitive Healthcare Hospitals Database. Definitive Healthcare LLC. Available at: https://www.definitivehc.com/. Accessed April 30, 2020.
Disclosures: A.S. and B.M.R. are cochairs of the Northeast Cerebrovascular Consortium Rehabilitation and Recovery Workgroup. J.S. and B.M.S. are Past Chairs of the Northeast Cerebrovascular Consortium. J.S. reports grants from Revance , Inc., and Neurolution, outside the submitted work. B.M.S. reports compensation for Women’s Health Initiative outcomes adjudication; medicolegal malpractice review; and authorship for Ebix, MedLink, and Medscape. J.P.B. reports grants from PCORI and from AstraZeneca that were outside the submitted work. The other authors have nothing to disclose.
Supported by the Northeast Cerebrovascular Consortium and American Heart Association / American Stroke Association through staff support.