Comparative Effectiveness of Rehabilitation Services for Survivors of Acute Ischemic Stroke
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 164,246
- 试验地点
- 1
- 主要终点
- Home-time
研究概览
简要总结
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.
详细描述
The investigators will seek to answer three questions:
- What are the person- and system-level factors associated with use of rehabilitation services following acute ischemic stroke?
- 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?
- 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?
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •acute ischemic stroke within the Get With the Guidelines-Stroke data set for 2006-2008, and successfully linked to Medicare claims through 2009
排除标准
- •death during index hospitalization
结局指标
主要结局
Home-time
时间窗: 12 months post-discharge
Number of days alive and living outside of inpatient care
Number of Participants Receiving Inpatient, Home, or Community Based Rehabilitation Services
时间窗: discharge through 90 days
Received either inpatient care in an inpatient rehabilitation or skilled nursing facility, or home or community-based rehabilitation.
次要结局
- Number of Participants Who Were Institutionalized in a Nursing Home for Long-term Care Within 12 Months of Hospital Discharge.(12 months post-discharge)
- Number of Participants Who Were Functionally Dependent or Dead 12 Months After Hospital Discharge(12 months post-discharge)
- Quality of Life (QOL)(12 months post-discharge)
- Number of Participants Who Were Rehospitalized or Died Within 12 Months of Stroke Hospitalization.(12 months post-discharge)
- Number of Participants Who Died Within 12 Months of Stroke Hospitalization(12 months post-discharge)