Additional weekend therapy may reduce length of rehabilitation stay after stroke: a meta-analysis of individual patient data

被引：0

作者：

English, Coralie ^{[1
,2
,3
]}

Shields, Nora ^{[4
,5
]}

Brusco, Natasha K. ^{[4
,6
]}

Taylor, Nicholas F. ^{[4
,7
]}

Watts, Jennifer J. ^{[8
]}

Peiris, Casey ^{[4
]}

Bernhardt, Julie ^{[9
]}

Crotty, Maria ^{[10
]}

Esterman, Adrian ^{[11
,12
]}

Segal, Leonie ^{[13
]}

Hillier, Susan ^{[3
]}

机构：

[1] Univ Newcastle, Sch Hlth Sci, Newcastle, NSW 2300, Australia

[2] Univ Newcastle, Hunter Med Res Inst, Prior Res Ctr Stroke & Brain Injury, Newcastle, NSW 2300, Australia

[3] Univ S Australia, Sansom Inst Hlth Res, Int Ctr Allied Hlth Evidence, Adelaide, SA 5001, Australia

[4] La Trobe Univ, Sch Allied Hlth, Box Hill, Vic, Australia

[5] Northern Hlth, Box Hill, Vic, Australia

[6] Cabrini Hlth, Physiotherapy Serv, Box Hill, Vic, Australia

[7] Eastern Hlth, Allied Hlth Clin Res Off, Box Hill, Vic, Australia

[8] Deakin Univ, Deakin Hlth Econ, Ctr Populat Hlth Res, Melbourne, Vic, Australia

[9] Florey Inst Neurosci & Mental Hlth, Stroke Div, Austin Campus, Melbourne, Vic, Australia

[10] Flinders Univ S Australia, Dept Rehabil & Aged Care, Bedford Pk Campus, Adelaide, SA 5001, Australia

[11] Univ S Australia, Div Hlth Sci, Adelaide, SA 5001, Australia

[12] James Cook Univ, Australian Inst Hlth & Trop Med, Cairns, Qld, Australia

[13] Univ S Australia, Div Hlth Sci, Hlth Econ & Social Policy Grp, Hlth Econ & Social Policy, Adelaide, SA 5001, Australia

来源：

JOURNAL OF PHYSIOTHERAPY | 2016年 / 62卷 / 03期

基金：

英国医学研究理事会;

关键词：

Physical therapy; Occupational therapy; Rehabilitation; Stroke; Weekend therapy; RANDOMIZED CONTROLLED-TRIAL; ALLIED HEALTH-SERVICES; CIRCUIT CLASS; INTENSITY; SETTINGS; PROTOCOL; OUTCOMES; CIRCIT; COST;

D O I：

10.1016/j.jphys.2016.05.015

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Questions: Among people receiving inpatient rehabilitation after stroke, does additional weekend physiotherapy and/or occupational therapy reduce the length of rehabilitation hospital stay compared to those who receive a weekday-only service, and does this change after controlling for individual factors? Does additional weekend therapy improve the ability to walk and perform activities of daily living, measured at discharge? Does additional weekend therapy improve health-related quality of life, measured 6 months after discharge from rehabilitation? Which individual, clinical and hospital characteristics are associated with shorter length of rehabilitation hospital stay? Design: This study pooled individual data from two randomised, controlled trials (n = 350) using an individual patient data meta-analysis and multivariate regression. Participants: People with stroke admitted to inpatient rehabilitation facilities. Intervention: Additional weekend therapy (physiotherapy and/or occupational therapy) compared to usual care (5 days/week therapy). Outcome measures: Length of rehabilitation hospital stay, independence in activities of daily living measured with the Functional Independence Measure, walking speed and health-related quality of life. Results: Participants who received weekend therapy had a shorter length of rehabilitation hospital stay. In the un-adjusted analysis, this was not statistically significant (MD -5.7 days, 95% CI -13.0 to 1.5). Controlling for hospital site, age, walking speed and Functional Independence Measure score on admission, receiving weekend therapy was significantly associated with a shorter length of rehabilitation hospital stay (beta = 7.5, 95% CI 1.7 to 13.4, p = 0.001). There were no significant between-group differences in Functional Independence Measure scores (MD 1.9 points, 95% CI -2.8 to 6.6), walking speed (MD 0.06 m/second, 95% CI -0.15 to 0.04) or health-related quality of life (SMD -0.04, 95% CI -0.26 to 0.19) at discharge. Discussion: Modest evidence indicates that additional weekend therapy might reduce rehabilitation hospital length of stay. (C) 2016 Australian Physiotherapy Association. Published by Elsevier B.V.

引用

页码：124 / 129

页数：6

共 14 条

[1] More outcomes than trials: a call for consistent data collection across stroke rehabilitation trials [J].