Effect of an Interdisciplinary Stroke Consult Service on the Transition to Postacute Rehabilitation

Venkatachalam, Aardhra M.; Rabroker, Audra; Stone, Suzanne; Manchi, Maunica R; Sengupta, Samarpita

doi:10.1016/j.apmr.2022.03.005

Cited by 4 publications

(3 citation statements)

References 16 publications

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“…In a single-center study, 1190 patients with stroke were enrolled in an intervention with multidisciplinary team huddle rounds led by physiatrists and a virtual rounding tool leveraging electronic health record data. 440 Discharges for patients with acute stroke to inpatient rehabilitation facilities increased from 24.2% in 2018 to 30.1% in 2020. For hemorrhagic stroke, the average onset days to inpatient rehabilitation facilities decreased from 12 days in 2018 to 9.9 days in 2020.…”

Section: Cor Loe Recommendationsmentioning

confidence: 99%

2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage: A Guideline From the American Heart Association/American Stroke Association

Hoh¹,

Ko²,

Amin‐Hanjani³

et al. 2023

Stroke

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268

145

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AIM: The “2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage” replaces the 2012 “Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage.” The 2023 guideline is intended to provide patient-centric recommendations for clinicians to prevent, diagnose, and manage patients with aneurysmal subarachnoid hemorrhage. METHODS: A comprehensive search for literature published since the 2012 guideline, derived from research principally involving human subjects, published in English, and indexed in MEDLINE, PubMed, Cochrane Library, and other selected databases relevant to this guideline, was conducted between March 2022 and June 2022. In addition, the guideline writing group reviewed documents on related subject matter previously published by the American Heart Association. Newer studies published between July 2022 and November 2022 that affected recommendation content, Class of Recommendation, or Level of Evidence were included if appropriate. STRUCTURE: Aneurysmal subarachnoid hemorrhage is a significant global public health threat and a severely morbid and often deadly condition. The 2023 aneurysmal subarachnoid hemorrhage guideline provides recommendations based on current evidence for the treatment of these patients. The recommendations present an evidence-based approach to preventing, diagnosing, and managing patients with aneurysmal subarachnoid hemorrhage, with the intent to improve quality of care and align with patients’ and their families’ and caregivers’ interests. Many recommendations from the previous aneurysmal subarachnoid hemorrhage guidelines have been updated with new evidence, and new recommendations have been created when supported by published data.

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Section: Cor Loe Recommendationsmentioning

confidence: 99%

2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage: A Guideline From the American Heart Association/American Stroke Association

Hoh¹,

Ko²,

Amin‐Hanjani³

et al. 2023

Stroke

Self Cite

268

145

View full text Add to dashboard Cite

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“…As the result of the first wave of COVID-19, because of public health concerns, advancements in the care delivery of rehabilitation services have expanded, leveraging remote communication and telehealth interfaces. Virtual rounding tools facilitate interdisciplinary collaboration, increasing IRF utilization and reducing transition of care delays 19 . Telemedicine delivery of stroke rehabilitation is a feasible and cost-effective option when in-person services are limited or unavailable 20,21 …”

Section: Discussionmentioning

confidence: 99%

“…Virtual rounding tools facilitate interdisciplinary collaboration, increasing IRF utilization and reducing transition of care delays. 19 Telemedicine delivery of stroke rehabilitation is a feasible and cost-effective option when in-person services are limited or unavailable. 20,21 Recommendations for rehabilitation poststroke are point blank: if a decline in function is observed, actively pursue/ resume therapy services.…”

Section: Discussionmentioning

confidence: 99%

Variability in the Transition of Care to Post-Stroke Rehabilitation During the First Wave of COVID-19

Venkatachalam,

Hossain,

Manchi

et al. 2023

Am J Phys Med Rehabil

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Objective The aim of the study is to evaluate transitions of acute stroke and inpatient rehabilitation facility care during the first wave of COVID-19. Design This is a retrospective observational study (3 comprehensive stroke centers with hospital-based inpatient rehabilitation facilities) between January 1, 2019, and May 31, 2019 (acute stroke = 584, inpatient rehabilitation facility = 210) and January 1, 2020, and May 31, 2020 (acute stroke = 534, inpatient rehabilitation facility = 186). Acute stroke characteristics included stroke type, demographics, and medical comorbidities. The proportion of patients admitted for acute stroke and inpatient rehabilitation facility care was analyzed graphically and using t test assuming unequal variances. Results The proportion of intracerebral hemorrhage patients (28.5% vs. 20.5%, P = 0.035) and those with history of transient ischemic attack (29% vs. 23.9%; P = 0.049) increased during the COVID-19 first wave in 2020. Uninsured acute stroke admissions decreased (7.3% vs. 16.6%) while commercially insured increased (42.7% vs. 33.4%, P < 0.001). Acute stroke admissions decreased from 116.5 per month in 2019 to 98.8 per month in 2020 (P = 0.008) with no significant difference in inpatient rehabilitation facility admissions (39 per month in 2019, 34.5 per month in 2020; P = 0.66). In 2019, monthly changes in acute stroke admissions coincided with inpatient rehabilitation facility admissions. In 2020, acute stroke admissions decreased 80.6% from January to February, while inpatient rehabilitation facility admissions remained stable. Acute stroke admissions increased 12.8% in March 2020 and remained stable in April, while inpatient rehabilitation facility admissions decreased by 92%. Conclusions Acute stroke hospitalizations significantly decreased per month during the first wave of COVID-19, with a delayed effect on the transition from acute stroke to inpatient rehabilitation facility care.

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The Impact of Multidisciplinary Team Intervention for Early Mobilization of Patients with Aneurysmal Subarachnoid Hemorrhage in Stroke Care Unit: A Retrospective Cohort Study

OIKE,

ISHIBASHI,

NOSAKA

et al. 2024

Phys Ther Res

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Effect of an Interdisciplinary Stroke Consult Service on the Transition to Postacute Rehabilitation

Cited by 4 publications

References 16 publications

2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage: A Guideline From the American Heart Association/American Stroke Association

2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage: A Guideline From the American Heart Association/American Stroke Association

Variability in the Transition of Care to Post-Stroke Rehabilitation During the First Wave of COVID-19

The Impact of Multidisciplinary Team Intervention for Early Mobilization of Patients with Aneurysmal Subarachnoid Hemorrhage in Stroke Care Unit: A Retrospective Cohort Study

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