Selection for inpatient rehabilitation after severe stroke: What factors influence rehabilitation assessor decision making?
dc.contributor.author | Hakkennes, S. | |
dc.contributor.author | Hill, Keith | |
dc.contributor.author | Brock, K. | |
dc.contributor.author | Bernhardt, J. | |
dc.contributor.author | Churilov, L. | |
dc.date.accessioned | 2017-01-30T12:25:28Z | |
dc.date.available | 2017-01-30T12:25:28Z | |
dc.date.created | 2013-03-17T20:00:33Z | |
dc.date.issued | 2012 | |
dc.identifier.citation | Hakkennes, Sharon and Hill, Keith and Brock, Kim and Bernhardt, Julie and Churilov, Leonid. 2012. Selection for inpatient rehabilitation after severe stroke: What factors influence rehabilitation assess or decision making? Journal of Rehabilitation Medicine 45 (1): pp. 24-31. | |
dc.identifier.uri | http://hdl.handle.net/20.500.11937/21483 | |
dc.identifier.doi | 10.2340/16501977-1065 | |
dc.description.abstract |
Objectives: This study aimed to identify factors that assessors considered important in decision-making regarding suitability for inpatient rehabilitation after acute severe stroke.Design: Multi-site prospective observational cohort study. Subjects: Consecutive acute, severe stroke patients and their assessors for inpatient rehabilitation. Methods: Rehabilitation assessors completed a questionnaire, rating the importance (10 point visual analogue scale) and direction (positive, negative or neutral) of 15 patient related and 2 organisational items potentially affecting their decision regarding patients’ acceptance to rehabilitation. Results: Of the 75 patients referred to rehabilitation and included in this study 61 (81.3%) were accepted for inpatient rehabilitation. The items considered to be most important in the decision to accept the patient for rehabilitation were pre-morbid cognition, pre-morbid mobility and pre-morbid communication. For those not accepted the most important items were current mobility, social support and current cognition. Factor analysis revealed 3 underlying factors, interpreted as post-stroke status, pre-morbid status, and social attributes, accounting for 61.8% of the total variance. All were independently associated with acceptance for rehabilitation (p < 0.05). Conclusions: This study highlights the importance of pre-morbid function and social factors in addition to post-stroke function in the decision making process for acceptance to rehabilitation following severe stroke. Future models for selection for rehabilitation should consider inclusion of these factors. | |
dc.publisher | Stiftelsen Rehabiliteringsinformation | |
dc.title | Selection for inpatient rehabilitation after severe stroke: What factors influence rehabilitation assessor decision making? | |
dc.type | Journal Article | |
dcterms.source.volume | 45 | |
dcterms.source.number | 1 | |
dcterms.source.startPage | 24 | |
dcterms.source.endPage | 31 | |
dcterms.source.issn | 1650-1977 | |
dcterms.source.title | Journal of Rehabilitation Medicine | |
curtin.department | ||
curtin.accessStatus | Open access |