Comparative Effectiveness of Rehabilitation Services for Survivors of Acute Ischemic Stroke

Active, not recruiting

Phase N/A Results N/A

Trial Description

Retrospective analysis of Get With the Guidelines-Stroke data linked with Medicare claims and the AVAIL longitudinal data sets to assess patterns, predictors, and outcomes associated with the use of rehabilitation services following hospitalization for ischemic stroke

Detailed Description

The investigators will seek to answer three questions:
1. What are the person- and system-level factors associated with use of rehabilitation services following acute ischemic stroke?
2. Among stroke survivors discharged to short-term inpatient rehabilitation, are high-intensity services performed at an Inpatient Rehabilitation Facility (IRF) more effective than lower intensity services performed at a Skilled Nursing Facility (SNF), at improving patient outcomes at 3 and 12 months?
3. Among stroke survivors discharged home, are outpatient services more effective than home health services, and are outpatient or home health services more effective than no services, at improving patient outcomes at 3 and 12 months?

Conditions

Interventions

  • Retrospective analysis Other
    Intervention Desc: Analysis of data for patients hospitalized in 2006-2008 with acute ischemic stroke, and successfully linked with Medicare claims through 2009

Trial Design

  • Observation: Cohort
  • Perspective: Retrospective
  • Sampling: Non-Probability Sample

Trial Population

Patients hospitalized for acute ischemic stroke in 2006-2008, and successfully linked to Medicare claims available through 2009

Outcomes

Type Measure Time Frame Safety Issue
Primary Rehabilitation service use discharge through 30 days No
Primary Living independently 3 and 12 months post-discharge No
Secondary Functional status 3 and 12 months post-discharge No
Secondary Depression 3 and 12 months post-discharge No
Secondary Change in work status 3 and 12 months post-discharge No
Secondary Disease self-management 3 and 12 months post-discharge No
Secondary Quality of life 3 and 12 months post-discharge No
Secondary Long-term care placement 12 months post-discharge No
Secondary Hospital readmission 12 months post-discharge No
Secondary Survival 12 months post-discharge No

Sponsors