Older age, low socioeconomic status, and multiple comorbidities lower the probability of receiving inpatient rehabilitation half a year after stroke

Publication date: Available online 12 September 2016
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Huan-Jui Yeh, PhD. Nicole Huang, Yiing-Jenq Chou, Shun-Ping Cheng, Wai-Keung Lee, Chun-Cho Lai, Chi-Chia Cheng
ObjectiveTo determine the predictors for receiving inpatient rehabilitation during the 7^th to 12^th month after stroke.DesignRetrospective cohort study.SettingThe study was conducted using a nationally representative sample of one million National Health Insurance enrollees.ParticipantsNewly diagnosed patients with stroke (N=13,828) were included. Studied subjects were patients who received inpatient rehabilitation during the 4^th to 6^th months after stroke. Patients who died within one year after the stroke event were excluded. (n = 488)InterventionsNot applicable.Main Outcome MeasuresThe outcome variable of interest was the probability of receiving inpatient rehabilitation during the 7^th to 12^th months after stroke. Both patients' and health care providers' characteristics were investigated to determine their influence on patients' receiving inpatient rehabilitation.ResultsOlder patients, patients of low socioeconomic status, patients with Charlson Comorbidity Index ≥ 5, and patients who received outpatient rehabilitation during the 4^th to 6^th months after stroke have a lower rate of receiving inpatient rehabilitation than their counterparts do. In addition, receiving inpatient rehabilitation during the 7^th to 9^th months after stroke is a strong positive predictor for receiving inpatient rehabilitation during the 10^th to 12^th months after stroke (odds ratio = 38.556, P < .0001)ConclusionsOur study revealed that older age, lower socioeconomic status, and multiple comorbidities are negative predictive factors with a cumulative effect for the probability of receiving inpatient rehabilitation during the 7^th to 12^th months after stroke.



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