Ischemic Stroke
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Eligibility criteria were as follows: (1) ischemic stroke (ICD-10: I63*) identified in the DPC data as either the reason for admission or the principal diagnosis; (2) age >= 18 years; (3) pre-admission modified Rankin Scale (mRS) score <= 4; and (4) confirmed stay in a stroke care unit (SCU) on the day of admission (Day 1-SCU). Time zero was defined as the admission date (Day 1). Day 1-SCU was identified using a claims-based proxy definition: the first billing date of an SCU-related management fee in the DPC data coinciding with the admission date.
Exclusion criteria
Exclusion criteria: Exclusion criteria were: (1) cases suggestive of in-hospital onset; (2) cases with clear evidence of long-term care (LTC) residence prior to admission; and (3) cases with an explicit contraindication to rehabilitation immediately after admission (e.g., immediately after decompressive craniectomy, ventricular drainage/external ventricular drain [EVD] placement, initiation of extracorporeal membrane oxygenation [ECMO], or initiation of high-dose vasopressors).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Barthel Index at discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| modified Rankin Scale (mRS) score at discharge (including achievement of mRS 0-3) | — |
Countries
Japan
Contacts
Kanagawa University of Human Services Department of Occupational therapy, The School of Rehabilitation