Selection for inpatient rehabilitation after severe stroke: What factors influence rehabilitation assessor decision making?
Objectives: This study aimed to identify factors that assessors considered important in decision-making regarding suitability for inpatient rehabilitation after acute severe stroke.Design: Multi-site prospective observational cohort study. Subjects: Consecutive acute, severe stroke patients and the...
| Main Authors: | , , , , |
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| Format: | Journal Article |
| Published: |
Stiftelsen Rehabiliteringsinformation
2012
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| Online Access: | http://hdl.handle.net/20.500.11937/21483 |
| _version_ | 1848750602809507840 |
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| author | Hakkennes, S. Hill, Keith Brock, K. Bernhardt, J. Churilov, L. |
| author_facet | Hakkennes, S. Hill, Keith Brock, K. Bernhardt, J. Churilov, L. |
| author_sort | Hakkennes, S. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objectives: This study aimed to identify factors that assessors considered important in decision-making regarding suitability for inpatient rehabilitation after acute severe stroke.Design: Multi-site prospective observational cohort study. Subjects: Consecutive acute, severe stroke patients and their assessors for inpatient rehabilitation. Methods: Rehabilitation assessors completed a questionnaire, rating the importance (10 point visual analogue scale) and direction (positive, negative or neutral) of 15 patient related and 2 organisational items potentially affecting their decision regarding patients’ acceptance to rehabilitation. Results: Of the 75 patients referred to rehabilitation and included in this study 61 (81.3%) were accepted for inpatient rehabilitation. The items considered to be most important in the decision to accept the patient for rehabilitation were pre-morbid cognition, pre-morbid mobility and pre-morbid communication. For those not accepted the most important items were current mobility, social support and current cognition. Factor analysis revealed 3 underlying factors, interpreted as post-stroke status, pre-morbid status, and social attributes, accounting for 61.8% of the total variance. All were independently associated with acceptance for rehabilitation (p < 0.05). Conclusions: This study highlights the importance of pre-morbid function and social factors in addition to post-stroke function in the decision making process for acceptance to rehabilitation following severe stroke. Future models for selection for rehabilitation should consider inclusion of these factors. |
| first_indexed | 2025-11-14T07:39:27Z |
| format | Journal Article |
| id | curtin-20.500.11937-21483 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:39:27Z |
| publishDate | 2012 |
| publisher | Stiftelsen Rehabiliteringsinformation |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-214832017-09-13T13:53:06Z Selection for inpatient rehabilitation after severe stroke: What factors influence rehabilitation assessor decision making? Hakkennes, S. Hill, Keith Brock, K. Bernhardt, J. Churilov, L. Objectives: This study aimed to identify factors that assessors considered important in decision-making regarding suitability for inpatient rehabilitation after acute severe stroke.Design: Multi-site prospective observational cohort study. Subjects: Consecutive acute, severe stroke patients and their assessors for inpatient rehabilitation. Methods: Rehabilitation assessors completed a questionnaire, rating the importance (10 point visual analogue scale) and direction (positive, negative or neutral) of 15 patient related and 2 organisational items potentially affecting their decision regarding patients’ acceptance to rehabilitation. Results: Of the 75 patients referred to rehabilitation and included in this study 61 (81.3%) were accepted for inpatient rehabilitation. The items considered to be most important in the decision to accept the patient for rehabilitation were pre-morbid cognition, pre-morbid mobility and pre-morbid communication. For those not accepted the most important items were current mobility, social support and current cognition. Factor analysis revealed 3 underlying factors, interpreted as post-stroke status, pre-morbid status, and social attributes, accounting for 61.8% of the total variance. All were independently associated with acceptance for rehabilitation (p < 0.05). Conclusions: This study highlights the importance of pre-morbid function and social factors in addition to post-stroke function in the decision making process for acceptance to rehabilitation following severe stroke. Future models for selection for rehabilitation should consider inclusion of these factors. 2012 Journal Article http://hdl.handle.net/20.500.11937/21483 10.2340/16501977-1065 Stiftelsen Rehabiliteringsinformation fulltext |
| spellingShingle | Hakkennes, S. Hill, Keith Brock, K. Bernhardt, J. Churilov, L. Selection for inpatient rehabilitation after severe stroke: What factors influence rehabilitation assessor decision making? |
| title | Selection for inpatient rehabilitation after severe stroke: What factors influence rehabilitation assessor decision making? |
| title_full | Selection for inpatient rehabilitation after severe stroke: What factors influence rehabilitation assessor decision making? |
| title_fullStr | Selection for inpatient rehabilitation after severe stroke: What factors influence rehabilitation assessor decision making? |
| title_full_unstemmed | Selection for inpatient rehabilitation after severe stroke: What factors influence rehabilitation assessor decision making? |
| title_short | Selection for inpatient rehabilitation after severe stroke: What factors influence rehabilitation assessor decision making? |
| title_sort | selection for inpatient rehabilitation after severe stroke: what factors influence rehabilitation assessor decision making? |
| url | http://hdl.handle.net/20.500.11937/21483 |