Recovery of Functional Status After Stroke in a Tri-Ethnic Population

Ivonne M. Berges, Yong Fang Kuo, Kenneth Ottenbacher, Gary S. Seale, Glenn V. Ostir

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objective: To examine recovery of functional status for white, black, and Hispanic patients who have had a stroke from the time of admission to inpatient medical rehabilitation to 12 months after discharge. Design: A longitudinal study that used information from the Stroke Recovery in Underserved Population database, a prospective observational study of persons with stroke who received inpatient medical rehabilitation services during 2005-2006. Setting: Eleven inpatient rehabilitation facilities located across diverse regions of the United States, including California, Florida, Iowa, Illinois, Kentucky, New Jersey, New York (2), Texas (2), and Washington, DC. Participants: A total of 990 adults aged 55 years or older who had a stroke and were admitted to 1 of 11 inpatient medical rehabilitation facilities in the United States were interviewed at 4 time points, including admission to and discharge from an inpatient medical rehabilitation facility and 3 and 12 months after discharge. Interventions: Not applicable. Main Outcome Measure: Functional status as measured by the Functional Independence Measure (FIM). Results: For the total sample, FIM ratings increased from admission to discharge and from discharge to 3-month follow-up, with little recovery occurring between 3 and 12 months. In random effects mixed models, at 3-month follow-up, both black and Hispanic patients had lower FIM ratings than did white patients. At 12-month follow-up, black and white patients were similar; however, Hispanic patients continued to have lower FIM ratings compare with white patients. Racial/ethnic group, age, length of stay, and medical comorbidities were significant predictors of total FIM ratings over the 4 time points. Conclusions: Persons 55 years and older who have had a stroke, regardless of race/ethnicity, appear to benefit from inpatient medical rehabilitation. Most functional status gains occur during inpatient medical rehabilitation and continue in the first few months after discharge, with little change afterward.

Original languageEnglish (US)
Pages (from-to)290-295
Number of pages6
JournalPM and R
Volume4
Issue number4
DOIs
StatePublished - Apr 2012

Fingerprint

Inpatients
Rehabilitation
Stroke
Population
Hispanic Americans
Vulnerable Populations
Ethnic Groups
Observational Studies
Longitudinal Studies
Comorbidity
Length of Stay
Outcome Assessment (Health Care)
Databases
Prospective Studies

ASJC Scopus subject areas

  • Rehabilitation
  • Neurology
  • Clinical Neurology
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Recovery of Functional Status After Stroke in a Tri-Ethnic Population. / Berges, Ivonne M.; Kuo, Yong Fang; Ottenbacher, Kenneth; Seale, Gary S.; Ostir, Glenn V.

In: PM and R, Vol. 4, No. 4, 04.2012, p. 290-295.

Research output: Contribution to journalArticle

Berges, Ivonne M. ; Kuo, Yong Fang ; Ottenbacher, Kenneth ; Seale, Gary S. ; Ostir, Glenn V. / Recovery of Functional Status After Stroke in a Tri-Ethnic Population. In: PM and R. 2012 ; Vol. 4, No. 4. pp. 290-295.
@article{5efff9ed7df34aac94e79a5cd70bf8d8,
title = "Recovery of Functional Status After Stroke in a Tri-Ethnic Population",
abstract = "Objective: To examine recovery of functional status for white, black, and Hispanic patients who have had a stroke from the time of admission to inpatient medical rehabilitation to 12 months after discharge. Design: A longitudinal study that used information from the Stroke Recovery in Underserved Population database, a prospective observational study of persons with stroke who received inpatient medical rehabilitation services during 2005-2006. Setting: Eleven inpatient rehabilitation facilities located across diverse regions of the United States, including California, Florida, Iowa, Illinois, Kentucky, New Jersey, New York (2), Texas (2), and Washington, DC. Participants: A total of 990 adults aged 55 years or older who had a stroke and were admitted to 1 of 11 inpatient medical rehabilitation facilities in the United States were interviewed at 4 time points, including admission to and discharge from an inpatient medical rehabilitation facility and 3 and 12 months after discharge. Interventions: Not applicable. Main Outcome Measure: Functional status as measured by the Functional Independence Measure (FIM). Results: For the total sample, FIM ratings increased from admission to discharge and from discharge to 3-month follow-up, with little recovery occurring between 3 and 12 months. In random effects mixed models, at 3-month follow-up, both black and Hispanic patients had lower FIM ratings than did white patients. At 12-month follow-up, black and white patients were similar; however, Hispanic patients continued to have lower FIM ratings compare with white patients. Racial/ethnic group, age, length of stay, and medical comorbidities were significant predictors of total FIM ratings over the 4 time points. Conclusions: Persons 55 years and older who have had a stroke, regardless of race/ethnicity, appear to benefit from inpatient medical rehabilitation. Most functional status gains occur during inpatient medical rehabilitation and continue in the first few months after discharge, with little change afterward.",
author = "Berges, {Ivonne M.} and Kuo, {Yong Fang} and Kenneth Ottenbacher and Seale, {Gary S.} and Ostir, {Glenn V.}",
year = "2012",
month = "4",
doi = "10.1016/j.pmrj.2012.01.010",
language = "English (US)",
volume = "4",
pages = "290--295",
journal = "PM and R",
issn = "1934-1482",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - Recovery of Functional Status After Stroke in a Tri-Ethnic Population

AU - Berges, Ivonne M.

AU - Kuo, Yong Fang

AU - Ottenbacher, Kenneth

AU - Seale, Gary S.

AU - Ostir, Glenn V.

PY - 2012/4

Y1 - 2012/4

N2 - Objective: To examine recovery of functional status for white, black, and Hispanic patients who have had a stroke from the time of admission to inpatient medical rehabilitation to 12 months after discharge. Design: A longitudinal study that used information from the Stroke Recovery in Underserved Population database, a prospective observational study of persons with stroke who received inpatient medical rehabilitation services during 2005-2006. Setting: Eleven inpatient rehabilitation facilities located across diverse regions of the United States, including California, Florida, Iowa, Illinois, Kentucky, New Jersey, New York (2), Texas (2), and Washington, DC. Participants: A total of 990 adults aged 55 years or older who had a stroke and were admitted to 1 of 11 inpatient medical rehabilitation facilities in the United States were interviewed at 4 time points, including admission to and discharge from an inpatient medical rehabilitation facility and 3 and 12 months after discharge. Interventions: Not applicable. Main Outcome Measure: Functional status as measured by the Functional Independence Measure (FIM). Results: For the total sample, FIM ratings increased from admission to discharge and from discharge to 3-month follow-up, with little recovery occurring between 3 and 12 months. In random effects mixed models, at 3-month follow-up, both black and Hispanic patients had lower FIM ratings than did white patients. At 12-month follow-up, black and white patients were similar; however, Hispanic patients continued to have lower FIM ratings compare with white patients. Racial/ethnic group, age, length of stay, and medical comorbidities were significant predictors of total FIM ratings over the 4 time points. Conclusions: Persons 55 years and older who have had a stroke, regardless of race/ethnicity, appear to benefit from inpatient medical rehabilitation. Most functional status gains occur during inpatient medical rehabilitation and continue in the first few months after discharge, with little change afterward.

AB - Objective: To examine recovery of functional status for white, black, and Hispanic patients who have had a stroke from the time of admission to inpatient medical rehabilitation to 12 months after discharge. Design: A longitudinal study that used information from the Stroke Recovery in Underserved Population database, a prospective observational study of persons with stroke who received inpatient medical rehabilitation services during 2005-2006. Setting: Eleven inpatient rehabilitation facilities located across diverse regions of the United States, including California, Florida, Iowa, Illinois, Kentucky, New Jersey, New York (2), Texas (2), and Washington, DC. Participants: A total of 990 adults aged 55 years or older who had a stroke and were admitted to 1 of 11 inpatient medical rehabilitation facilities in the United States were interviewed at 4 time points, including admission to and discharge from an inpatient medical rehabilitation facility and 3 and 12 months after discharge. Interventions: Not applicable. Main Outcome Measure: Functional status as measured by the Functional Independence Measure (FIM). Results: For the total sample, FIM ratings increased from admission to discharge and from discharge to 3-month follow-up, with little recovery occurring between 3 and 12 months. In random effects mixed models, at 3-month follow-up, both black and Hispanic patients had lower FIM ratings than did white patients. At 12-month follow-up, black and white patients were similar; however, Hispanic patients continued to have lower FIM ratings compare with white patients. Racial/ethnic group, age, length of stay, and medical comorbidities were significant predictors of total FIM ratings over the 4 time points. Conclusions: Persons 55 years and older who have had a stroke, regardless of race/ethnicity, appear to benefit from inpatient medical rehabilitation. Most functional status gains occur during inpatient medical rehabilitation and continue in the first few months after discharge, with little change afterward.

UR - http://www.scopus.com/inward/record.url?scp=84860249549&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84860249549&partnerID=8YFLogxK

U2 - 10.1016/j.pmrj.2012.01.010

DO - 10.1016/j.pmrj.2012.01.010

M3 - Article

VL - 4

SP - 290

EP - 295

JO - PM and R

JF - PM and R

SN - 1934-1482

IS - 4

ER -