The Impact of One's Sex and Social Living Situation on Rehabilitation Outcomes After a Stroke

Catherine Cooper Hay, James E. Graham, Monique R. Pappadis, Angelle M. Sander, Ickpyo Hong, Timothy A. Reistetter

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

OBJECTIVE: The aim of the study was to investigate sex differences and the impact of social living situation on individual functional independence measure outcomes after stroke rehabilitation. DESIGN: A retrospective observational study using Medicare fee-for-service beneficiaries (N = 125,548) who were discharged from inpatient rehabilitation facilities in 2013 and 2014 after a stroke. Discharge individual functional independence measure score, dichotomized as ≥5 and <5, was the primary outcome measure. A two-step generalized linear mixed model was used to measure the effect of sex on each functional independence measure item while controlling for many clinical and sociodemographic covariates. RESULTS: After adjusting for sociodemographic and clinical factors, females had higher odds of reaching a supervision level for 14 of 18 functional independence measure items. Males had higher odds of reaching a supervision level on 2 of 18 functional independence measure items. Individuals who lived alone before their stroke had higher odds of reaching a supervision level than individuals who lived with a caregiver or with family for all functional independence measure items. CONCLUSIONS: When sociodemographic and clinical factors are controlled, females are more likely to discharge from inpatient rehabilitation at a supervision level or better for most functional independence measure items. Individuals who live alone before their stroke have higher odds of discharging at a supervision level or better.

Original languageEnglish (US)
Pages (from-to)48-55
Number of pages8
JournalAmerican journal of physical medicine & rehabilitation
Volume99
Issue number1
DOIs
StatePublished - Jan 1 2020

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ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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