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Titre : | Effects of Transferring to the Rehabilitation Ward on Long-Term Mortality Rate of First-Time Stroke Survivors: A Population-Based Study (2017) |
Auteurs : | Chien-Min Chen ; Yao-Hsu Yang ; Chia-Hao Chang |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/12, 2017) |
Article en page(s) : | p. 2399-2407 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Mortalité ; Rééducation et réadaptation |
Mots-clés: | Mortality ; Stroke |
Résumé : |
Objective To assess the long-term health outcomes of acute stroke survivors transferred to the rehabilitation ward. Design Long-term mortality rates of first-time stroke survivors during hospitalization were compared among the following sets of patients: patients transferred to the rehabilitation ward, patients receiving rehabilitation without being transferred to the rehabilitation ward, and patients receiving no rehabilitation. Setting Retrospective cohort study. Participants Patients (N = 11,419) with stroke from 2005 to 2008 were initially assessed for eligibility. After propensity score matching, 390 first-time stroke survivors were included. Interventions None. Main Outcome Measure Cox proportional hazards regression model was used to assess differences in 5-year poststroke mortality rates. Results Based on adjusted hazard ratios (HRs), the patients receiving rehabilitation without being transferred to the rehabilitation ward (adjusted HR, 2.20; 95% confidence interval [CI], 1.363.57) and patients receiving no rehabilitation (adjusted HR, 4.00; 95% CI, 2.556.27) had significantly higher mortality risk than the patients transferred to the rehabilitation ward. Mortality rate of the stroke survivors was affected by age ≥65 years (compared with age Conclusions First-time stroke survivors transferred to the rehabilitation ward had a 5-year mortality rate 2.2 times lower than those who received rehabilitation without transfer to the rehabilitation ward and 4 times lower than those who received no rehabilitation. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317302447 |