Physio- and Occupational Therapy Pathways of Stroke Patients and Stroke Mortality

被引：4

作者：

Peschke, D. ^{[1
,2
]}

Schnitzer, S. ^{[3
]}

Kuhlmey, A. ^{[3
]}

Schenk, L. ^{[3
]}

机构：

[1] Charite Univ Med Berlin, Berlin, Germany

[2] Tech Univ Berlin, Fachgebiet Strukturentwicklung & Qualitatsmanagem, D-10623 Berlin, Germany

[3] Charite Univ Med Berlin, Inst Med Soziol, Berlin, Germany

来源：

REHABILITATION | 2014年 / 53卷 / 04期

关键词：

stroke; mortality; rehabilitation; physiotherapy; occupational therapy;

D O I：

10.1055/s-0033-1357117

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Aims: This study examines the relationship between adherence to clinical guidelines and survival time in the first year after stroke. Methods: The sample comprises all clients of the Deutsche BKK, a large German health insurance company, who received acute inpatient care for stroke in 2007, who survived the hospital stay by at least 14 days, and who had motor deficits at the end of their acute treatment (n = 1791). 3 types of treatment that differ in the degree of adherence to clinical guidelines are identified ("Fruhreha-Plus" > "Standard-Plus" > "Nur Akut"). Results: There is a positive relationship between adherence to clinical guidelines and survival time, even when relevant covariates are controlled. The hazard-ratios are 0.49 for "Fruhreha-Plus" and 0.65 for "Standard-Plus" compared to "Nur Akut". Conclusions: Healthcare processes should be organized on the basis of cross-sector collaboration and in line with the recommendations of the guidelines.

引用

页码：224 / 229

页数：6