A comparison of stroke rehabilitation; data from two national cohorts

Bērziņa, Guna; Vētra, Aivars; Sunnerhagen, Katharina S.

doi:10.1111/ane.12542

Cited by 8 publications

(9 citation statements)

References 20 publications

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“…[3][4][5] Recovery after stroke generally means improvements in physical, emotional, and cognitive function, as well as the capacity to perform daily activities. 5,[7][8][9][10] To reflect upon "person-centered practice," a person's experience of involvement must be central for participation. 5,[7][8][9][10] To reflect upon "person-centered practice," a person's experience of involvement must be central for participation.…”

Section: Introductionmentioning

confidence: 99%

“…6 Having a stroke has shown to have a negative impact on the level of perceived participation over time, even for persons with mild stroke. 5,[7][8][9][10] To reflect upon "person-centered practice," a person's experience of involvement must be central for participation. 11 In this article, the following definition of participation 11 is used; participation occurs at the intersection of what a person can do, wants to do, has the opportunity to do, and is not prevented from doing by the world in which the person lives and seeks to participate in.…”

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confidence: 99%

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The impact of physical function on participation in the first year post-stroke

et al. 2016

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Section: Introductionmentioning

confidence: 99%

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confidence: 99%

The impact of physical function on participation in the first year post-stroke

et al. 2016

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“…Comparisons of health services between countries can be challenging, and observed differences in patient outcomes and access may be heavily influenced by differences in financial models, availability of resources, and clinical guidelines or traditions [51, 52]. In this study, we have compared two countries with similar characteristics: high-income countries with universal health care where private health insurance is supplementary [25].…”

Section: Discussionmentioning

confidence: 99%

Patient and service factors associated with referral and admission to inpatient rehabilitation after the acute phase of stroke in Australia and Norway

Labberton

Barra

Rønning

et al. 2019

BMC Health Serv Res

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BackgroundUnequal access to inpatient rehabilitation after stroke has been reported. We sought to identify and compare patient and service factors associated with referral and admission to an inpatient rehabilitation facility (IRF) after acute hospital care for stroke in two countries with publicly-funded healthcare.MethodsWe compared two cohorts of stroke patients admitted consecutively to eight acute public hospitals in Australia in 2013–2014 (n = 553), and to one large university hospital in Norway in 2012–2013 (n = 723). Outcomes were: referral to an IRF; admission to an IRF if referred. Logistic regression models were used to identify and compare factors associated with each outcome.ResultsParticipants were similar in both cohorts: mean age 73 years, 40–44% female, 12–13% intracerebral haemorrhage, ~ 77% mild stroke (National Institutes of Health Stroke Scale < 8). Services received during the acute admission differed (Australia vs. Norway): stroke unit treatment 82% vs. 97%, physiotherapy 93% vs. 79%, occupational therapy 83% vs. 77%, speech therapy 78% vs. 13%. Proportions referred to an IRF were: 48% (Australia) and 37% (Norway); proportions admitted: 35% (Australia) and 28% (Norway). Factors associated with referral in both countries were: moderately severe stroke, receiving stroke unit treatment or allied health assessments during the acute admission, living in the community, and independent pre-stroke mobility. Directions of associations were mostly congruent; however younger patients were more likely to be referred and admitted in Norway only. Models for admission among patients referred identified few associated factors suggesting that additional factors were important for this stage of the process.ConclusionsSimilar factors were associated with referral to inpatient rehabilitation after acute stroke in both countries, despite differing service provision and access rates. Assuming it is not feasible to provide inpatient rehabilitation to all patients following stroke, the criteria for the selection of candidates need to be understood to address unwanted biases.

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“…From other countries, it has also been shown that more effective strategies are needed to motivate patients to fulfill a complete follow-up and to obtain appropriate rehabilitation. 34,35 Furthermore, a system with education, support, and advice to patients and primary care has been found effective to control risk factors for recurrent stroke. 36…”

Section: Discussionmentioning

confidence: 99%