Admission in Neurorehabilitation and Association with Functional Outcomes after Stroke in France: A Nation-Wide Study, 2010-2014 |
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Authors: | Amélie Gabet Christine de Peretti France Woimant Maurice Giroud Yannick Béjot Alexis Schnitzler Valérie Olié |
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Institution: | 2. Dr, DREES, Paris, France;3. Dr, ARS ile de France, Paris, France;4. Dr, AP-HP, Paris, France;5. Haute autorité de santé, service SIPAQSS, Université St Quentin-en-Yvelines, Saint-Denis, France |
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Abstract: | GoalWe studied time trends of admission in neurological rehabilitation units (NRU) among patients hospitalised for stroke from 2010 to 2014 and compared prognostic factors of functional gain, home return and inpatient survival.MethodsPatients hospitalized for Stroke from 2010 to 2014 were selected from the French national hospital databases. Admission in rehabilitation was searched till 3 months. Predictive factors of functional gain, home return, in-patient survival, and the corresponding trends were studied using logistic regression.ResultsIn 2014, global rehabilitation rate was 36.3% with 15.8 discharged in a NRU. The rate of patients managed in NRU rose between 2010 and 2014. An increase in the proportion of home return (+4%) and inpatient survival rate (+7%) were observed between 2010 and 2014. Almost 40% of patients with severe functional deficits benefited of a partial or complete recovery after their rehabilitation stay. NRU admission was associated with higher probability of functional gain (OR odds ratio] =1.76 confidence interval {CI} 95% 1.67-1.85]), home return (OR?=?1.38 CI 95% 1.29-1.47]) and inpatient survival (OR?=?3.15 CI 95% 2.83-3.52]).ConclusionsA greater proportion of patients were admitted in NRU along with an increase of home return and in-patient survival, but too many patients remained excluded. |
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Keywords: | Stroke neurorehabilitation epidemiology trends |
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