Regional variation in stroke rehabilitation outcomes

Timothy Reistetter, Amol Karmarkar, James E. Graham, Karl Eschbach, Yong Fang Kuo, Carl V. Granger, Jean Freeman, Kenneth Ottenbacher

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective: To examine and describe regional variation in outcomes for persons with stroke receiving inpatient medical rehabilitation. Design Retrospective cohort design. Setting: Inpatient rehabilitation units and facilities contributing to the Uniform Data System for Medical Rehabilitation from the United States. Participants: Patients (N=143,036) with stroke discharged from inpatient rehabilitation during 2006 and 2007. Interventions: Not applicable. Main Outcome Measures: Community discharge, length of stay (LOS), and discharge functional status ratings (motor, cognitive) across 10 geographic service regions defined by the Centers for Medicare and Medicaid Services (CMS). Results: Approximately 71% of the sample was discharged to the community. After adjusting for covariates, the percentage discharged to the community varied from 79.1% in the Southwest (CMS region 9) to 59.4% in the Northeast (CMS region 2). Adjusted LOS varied by 2.1 days, with CMS region 1 having the longest LOS at 18.3 days and CMS regions 5 and 9 having the shortest at 16.2 days. Conclusions: Rehabilitation outcomes for persons with stroke varied across CMS regions. Substantial variation in discharge destination and LOS remained after adjusting for demographic and clinical characteristics.

Original languageEnglish (US)
Pages (from-to)29-38
Number of pages10
JournalArchives of Physical Medicine and Rehabilitation
Volume95
Issue number1
DOIs
StatePublished - Jan 2014

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Centers for Medicare and Medicaid Services (U.S.)
Length of Stay
Rehabilitation
Inpatients
Stroke
Information Systems
Stroke Rehabilitation
Demography
Outcome Assessment (Health Care)

Keywords

  • Health services
  • Quality of health care
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Regional variation in stroke rehabilitation outcomes. / Reistetter, Timothy; Karmarkar, Amol; Graham, James E.; Eschbach, Karl; Kuo, Yong Fang; Granger, Carl V.; Freeman, Jean; Ottenbacher, Kenneth.

In: Archives of Physical Medicine and Rehabilitation, Vol. 95, No. 1, 01.2014, p. 29-38.

Research output: Contribution to journalArticle

Reistetter, T, Karmarkar, A, Graham, JE, Eschbach, K, Kuo, YF, Granger, CV, Freeman, J & Ottenbacher, K 2014, 'Regional variation in stroke rehabilitation outcomes', Archives of Physical Medicine and Rehabilitation, vol. 95, no. 1, pp. 29-38. https://doi.org/10.1016/j.apmr.2013.07.018
Reistetter, Timothy ; Karmarkar, Amol ; Graham, James E. ; Eschbach, Karl ; Kuo, Yong Fang ; Granger, Carl V. ; Freeman, Jean ; Ottenbacher, Kenneth. / Regional variation in stroke rehabilitation outcomes. In: Archives of Physical Medicine and Rehabilitation. 2014 ; Vol. 95, No. 1. pp. 29-38.
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