Background In May 2012, the Central Denmark Region implemented a reform in stroke care, which included concentration of acute stroke treatment from 5 to 2 specialized hospitals, short stay, and a shift from inpatient rehabilitation to community-based rehabilitation, and establishment of 5 stroke teams. The plan was announced three months before implementation. Patients were promised a more inte...

Stroke is the third leading cause of death in our country and is the leading cause of long-term adult disability. Comprehensive, coordinated rehabilitation services can reduce mortality and improve functional outcomes following stroke. In rural communities, however, the specialized services and supports needed by patients after stroke are often not available. An innovative alternative to delive...

The influence of visuospatial deficits on functional status after right hemisphere stroke was investigated in 34 patients. Correlation coefficients between visuospatial deficits and other factors--age, sex, vocabulary, educational level, hemiparesis, hemianopia, left-sided extinction, length of stay on a rehabilitation unit, and time lapse between onset of stroke and admission to the rehabilita...

During acute stroke care, rehabilitation usage may be influenced by patient- and hospital-related factors. We would like to identify patient- and hospital-level determinants of population-level inpatient rehabilitation usage associated with acute stroke care.From data obtained from the claim information from the National Health Insurance Administration (NHIA) in Taiwan (2009-2011), we enrolled ...

BACKGROUND Medical events, such as stroke, limb fractures, joint replacements and spinal injuries, can lead to acute functional disability at all ages and to chronic disability, especially among the elderly. Rehabilitation is, therefore, essential for the prevention of permanent disability among older individuals. There are international practice guidelines for stroke and hip fracture managemen...

BACKGROUND A panel of experts developed stroke rehabilitation guidelines for the Veterans Health Administration and Department of Defense Medical Systems. METHODS Starting from previously established guidelines, the panel evaluated published literature through 2002, using criteria developed by the US Preventive Services Task Force. Recommendations were based on evidence from randomized clinic...

OBJECTIVE Detect the main predictive non-motor factors related to independent community ambulation after stroke. Furthermore, we propose a scale to estimate the probability of a stroke patient achieving independent community ambulation after 6 months of rehabilitation. DESIGN AND SETTINGS Prospective cohort. Subjects treated in a rehabilitation center in a large metropolitan area. Independent...