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Titre : | Racial Differences in Poststroke Rehabilitation Utilization and Functional Outcomes (2015) |
Auteurs : | Charles Ellis ; Andrea D. Boan ; Tanya N. Turan |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/1, 2015) |
Article en page(s) : | p. 84-90 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Groupes ethniques ; Rééducation et réadaptation |
Mots-clés: | Ethnic groups ; Stroke |
Résumé : |
Objective To examine racial differences in poststroke rehabilitation utilization and functional outcomes. Design Observational follow-up study. Setting Designated stroke center. Participants Stroke survivors (N=162; 106 whites and 56 blacks) surveyed at 1 year poststroke. Intervention Not applicable. Main Outcome Measures Twenty-question measure of activities of daily living (ADL) and instrumental activities of daily living (IADL) performance, life participation, and driving. One-year follow-up data collected from stroke survivors as part of the Stroke Education and Prevention-South Carolina Project were examined for racial disparities in rehabilitation utilization and functional outcomes. Results Analyses revealed no significant differences between blacks and whites for rehabilitation utilization. In multivariate comparisons controlling for stroke severity, blacks were less likely to report independence in overall functional performance and domain-specific measures of toileting, walking, transportation, laundry, and shopping. Blacks also reported less independence in driving at 1-year follow-up. Conclusions Blacks were less likely to report independence in performing ADL and IADL at 1 year poststroke after controlling for stroke severity. Racial disparities were reported in ADL and IADL performance despite a lack of racial differences in rehabilitation utilization. Future studies are needed to further understand the reason for this disparity in reported functional independence. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314010314 |