A register-based study comparing planned rehabilitation following acute stroke in 2011 and 2017

Abstract This cross-sectional, register-based study aimed to explore patterns of planned rehabilitation at discharge from stroke units in Sweden in 2011 and 2017 and identify explanatory variables for planned rehabilitation. Multivariable binary logistic regression was used to identify variables tha...

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Autores principales:	Malin C. Nylén, Hanna C. Persson, Tamar Abzhandadze, Katharina S. Sunnerhagen
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6b2f405daa6b46e08c9e71e564d43302
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spelling	oai:doaj.org-article:6b2f405daa6b46e08c9e71e564d433022021-11-28T12:20:09ZA register-based study comparing planned rehabilitation following acute stroke in 2011 and 201710.1038/s41598-021-02337-52045-2322https://doaj.org/article/6b2f405daa6b46e08c9e71e564d433022021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02337-5https://doaj.org/toc/2045-2322Abstract This cross-sectional, register-based study aimed to explore patterns of planned rehabilitation at discharge from stroke units in Sweden in 2011 and 2017 and identify explanatory variables for planned rehabilitation. Multivariable binary logistic regression was used to identify variables that could explain planned rehabilitation. There were 19,158 patients in 2011 and 16,508 patients in 2017 with stroke, included in the study. In 2011, 57% of patients were planned for some form of rehabilitation at discharge from stroke unit, which increased to 72% in 2017 (p < 0.001). Patients with impaired consciousness at admission had increased odds for planned rehabilitation (hemorrhage 2011 OR 1.43, 95% CI 1.13–1.81, 2017 OR 1.66, 95% CI 1.20–2.32), (IS 2011 OR 1.21, 95% CI 1.08–1.34, 2017 OR 1.49, 95% CI 1.28–1.75). Admission to a community hospital (hemorrhage 2011 OR 0.56, 95% CI 0.43–0.74, 2017 OR 0.39, 95% CI 0.27–0.56) (IS 2011 OR 0.63, 95% CI 0.58–0.69, 2017 OR 0.54, 95% CI 0.49–0.61) or to a specialized non-university hospital (hemorrhage 2017 OR 0.66, 95% CI 0.46–0.94), (IS 2011 OR 0.90, 95% CI 0.82–0.98, 2017 OR 0.76, 95% CI 0.68–0.84) was associated with decreased odds of receiving planned rehabilitation compared to admission to a university hospital. As a conclusion severe stroke was associated with increased odds for planned rehabilitation and patients discharged from non-university hospitals had consistently decreased odds for planned rehabilitation.Malin C. NylénHanna C. PerssonTamar AbzhandadzeKatharina S. SunnerhagenNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Malin C. Nylén Hanna C. Persson Tamar Abzhandadze Katharina S. Sunnerhagen A register-based study comparing planned rehabilitation following acute stroke in 2011 and 2017
description	Abstract This cross-sectional, register-based study aimed to explore patterns of planned rehabilitation at discharge from stroke units in Sweden in 2011 and 2017 and identify explanatory variables for planned rehabilitation. Multivariable binary logistic regression was used to identify variables that could explain planned rehabilitation. There were 19,158 patients in 2011 and 16,508 patients in 2017 with stroke, included in the study. In 2011, 57% of patients were planned for some form of rehabilitation at discharge from stroke unit, which increased to 72% in 2017 (p < 0.001). Patients with impaired consciousness at admission had increased odds for planned rehabilitation (hemorrhage 2011 OR 1.43, 95% CI 1.13–1.81, 2017 OR 1.66, 95% CI 1.20–2.32), (IS 2011 OR 1.21, 95% CI 1.08–1.34, 2017 OR 1.49, 95% CI 1.28–1.75). Admission to a community hospital (hemorrhage 2011 OR 0.56, 95% CI 0.43–0.74, 2017 OR 0.39, 95% CI 0.27–0.56) (IS 2011 OR 0.63, 95% CI 0.58–0.69, 2017 OR 0.54, 95% CI 0.49–0.61) or to a specialized non-university hospital (hemorrhage 2017 OR 0.66, 95% CI 0.46–0.94), (IS 2011 OR 0.90, 95% CI 0.82–0.98, 2017 OR 0.76, 95% CI 0.68–0.84) was associated with decreased odds of receiving planned rehabilitation compared to admission to a university hospital. As a conclusion severe stroke was associated with increased odds for planned rehabilitation and patients discharged from non-university hospitals had consistently decreased odds for planned rehabilitation.
format	article
author	Malin C. Nylén Hanna C. Persson Tamar Abzhandadze Katharina S. Sunnerhagen
author_facet	Malin C. Nylén Hanna C. Persson Tamar Abzhandadze Katharina S. Sunnerhagen
author_sort	Malin C. Nylén
title	A register-based study comparing planned rehabilitation following acute stroke in 2011 and 2017
title_short	A register-based study comparing planned rehabilitation following acute stroke in 2011 and 2017
title_full	A register-based study comparing planned rehabilitation following acute stroke in 2011 and 2017
title_fullStr	A register-based study comparing planned rehabilitation following acute stroke in 2011 and 2017
title_full_unstemmed	A register-based study comparing planned rehabilitation following acute stroke in 2011 and 2017
title_sort	register-based study comparing planned rehabilitation following acute stroke in 2011 and 2017
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/6b2f405daa6b46e08c9e71e564d43302
work_keys_str_mv	AT malincnylen aregisterbasedstudycomparingplannedrehabilitationfollowingacutestrokein2011and2017 AT hannacpersson aregisterbasedstudycomparingplannedrehabilitationfollowingacutestrokein2011and2017 AT tamarabzhandadze aregisterbasedstudycomparingplannedrehabilitationfollowingacutestrokein2011and2017 AT katharinassunnerhagen aregisterbasedstudycomparingplannedrehabilitationfollowingacutestrokein2011and2017 AT malincnylen registerbasedstudycomparingplannedrehabilitationfollowingacutestrokein2011and2017 AT hannacpersson registerbasedstudycomparingplannedrehabilitationfollowingacutestrokein2011and2017 AT tamarabzhandadze registerbasedstudycomparingplannedrehabilitationfollowingacutestrokein2011and2017 AT katharinassunnerhagen registerbasedstudycomparingplannedrehabilitationfollowingacutestrokein2011and2017
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A register-based study comparing planned rehabilitation following acute stroke in 2011 and 2017

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