Comparative Effectiveness of Rehabilitation Services for Survivors of Acute Ischemic Stroke
| Status: | Completed |
|---|---|
| Conditions: | Peripheral Vascular Disease, Neurology |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Neurology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 4/17/2018 |
| Start Date: | May 2013 |
| End Date: | May 2016 |
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. Primary
completion defined as the end of primary analyses, consistent with the end of the PCORI Cycle
I grant period. Study completion defined as acceptance of final research report and lay
abstract by PCORI.
the AVAIL longitudinal data sets to assess patterns, predictors, and outcomes associated with
the use of rehabilitation services following hospitalization for ischemic stroke. Primary
completion defined as the end of primary analyses, consistent with the end of the PCORI Cycle
I grant period. Study completion defined as acceptance of final research report and lay
abstract by PCORI.
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, is early follow-up with a physician more
effective than follow-up after 7 days at 3 and 12 months?
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, is early follow-up with a physician more
effective than follow-up after 7 days at 3 and 12 months?
Inclusion Criteria:
- acute ischemic stroke within the Get With the Guidelines-Stroke data set for
2006-2008, and successfully linked to Medicare claims through 2009
Exclusion Criteria:
- death during index hospitalization
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