Not all rehabilitation is equal for acute care hospital patients with ischemic stroke, say researchers in an article published in the May issue of PTJ (Physical Therapy). Authors found “significant variation” in the use of hospital-based rehabilitation services that “suggest a timely opportunity to standardize rehabilitation service delivery in acute settings for patients with ischemic stroke.”
While current guidelines recommend early mobilization during hospitalization for ischemic stroke, authors write, they do not “provide clear recommendations on the optimal dosage of therapy.” This, combined with no incentive for hospitals to report on functional status to the US Centers for Medicare and Medicaid Services (CMS), led researchers to examine Medicare claims data from 104,295 patients in 2010 to identify what factors were associated with the type and amount of rehabilitation services patients received while in acute care settings.
A recent study of stroke rates has found that while rates have declined in patients older than age 55, there has been an uptick among younger populations—and the potential underlying factors are “unsettling.”
Authors of the study, published in the Journal of the American Heart Association, write that over the past 20 years, the incidence of stroke has decreased in many countries, but that trend may now be reversing itself. Researchers applied an “age-period-cohort” analysis to data from the Myocardial Infarction Data Acquisition System in New Jersey in an attempt to “unravel the separate effects due to aging, secular changes, and life course experience” on incidence of ischemic stroke and ST-elevated myocardial infarction (STEMI). The time periods considered were 1995-1999 (period 1), 2000-2004 (period 2), 2005-2009 (period 3), and 2010-2014 (period 4).