Disparities in postacute stroke rehabilitation disposition to acute inpatient rehabilitation vs. home findings from the North Carolina Hospital Discharge Database

American Journal of Physical Medicine and Rehabilitation

Volumn 88, Issue 2, 2009, Pages 100-107

  Gregory, Patricia C ^a   Han, Euna ^b  

^a UNIVERSITY OF NORTH CAROLINA SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

Author keywords

Disparities; Disposition; Rehabilitation; Stroke

Indexed keywords

ADULT; ARTICLE; COMORBIDITY; DATA BASE; DEMOGRAPHY; FEMALE; HOME CARE; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; INTENSIVE CARE UNIT; INTERNATIONAL CLASSIFICATION OF DISEASES; MAJOR CLINICAL STUDY; MALE; POVERTY; RESIDENTIAL CARE; STROKE; UNITED STATES; ECONOMICS; EMERGENCY HEALTH SERVICE; FACTUAL DATABASE; HEALTH CARE DELIVERY; HEALTH CARE DISPARITY; MIDDLE AGED; REHABILITATION CENTER; SOCIOECONOMICS; STATISTICAL MODEL; STATISTICS; UTILIZATION REVIEW;

DATABASES, FACTUAL; FEMALE; HEALTH SERVICES ACCESSIBILITY; HEALTHCARE DISPARITIES; HOME CARE SERVICES; HUMANS; INPATIENTS; LOGISTIC MODELS; MALE; MIDDLE AGED; NORTH CAROLINA; PATIENT DISCHARGE; POVERTY; REHABILITATION CENTERS; SOCIOECONOMIC FACTORS; STROKE; TRIAGE;

EID: 59649084419     PISSN: 08949115     EISSN: None     Source Type: Journal    
DOI: 10.1097/PHM.0b013e3181951762     Document Type: Article

References (38)

1. Rosamond W, Flegal K, Furie K, et al: Heart Disease and Stroke Statistics 2008 Update. A report from the American Heart Association Statistics Committee and the Stroke Statistics Subcommittee. Circulation 2008;117:el-el22. Available at: http://circ.ahajournals.org. Accessed August 25, 2008
2. Sivenius J, Pyorala K, Heinonen OP, et al: The significance of intensity of rehabilitation of stroke-A controlled trial. Stroke 1985;16:928-31
3. Kwakkel G, Kollen BJ, Wagenaar RC: Long term effects of intensity of upper and lower limb training after stroke: A randomized trial. J Neurol Neurosurg Psychiatry 2002;72:473-9
4. Howard G, Howard VJ; Reasons for Geographic and Racial Differences in Stroke (REGARDS) Investigators: Ethnic disparities in stroke: The scope of the problem. Ethn Dis 2001;11:761-8
5. Kuhlemeier KV, Stiens SA: Racial disparities in severity of cerebrovascular events. Stroke 1994;25:2126-31
6. Centers for Disease Control and Prevention (CDC): Regional and racial differences in prevalence of stroke-23 states and District of Columbia, 2003. MMWR Morb Mortal Wkly Rep 2005;54:481-4
7. Centers for Disease Control and Prevention (CDC): Differences in disability among black and white stroke survivors-United States, 2000-2001. MMWR Morb Mortal Wkly Rep 2005;54:3-6
8. Bhandari VK, Kushel M, Price L, et al: Racial disparities in outcomes of inpatient stroke rehabilitation. Arch Phys Med Rehabil 2005;86:2081-6
9. Ayala C, Greenlund KJ, Croft JB, et al: Racial/ethnic disparities in mortality by stroke subtype in the United States, 1995-1998. Am J Epidemiol 2001;154:1057-63
10. Stansbury JP, Jia H, Williams LS, et al: Ethnic disparities in stroke: Epidemiology, acute care, and post acute outcomes. Stroke 2005;36:374-86
11. Mayers-Oakes SA, Hoenig H, Atchison KA, et al: Patient-related predictors of rehabilitation use for community dwelling older Americans. J Am Geriatr Soc 1992;50:336-42
12. Gregory PC, Han E, Morozova O, et al: Do racial disparities exist in access to inpatient stroke rehabilitation in the state of Maryland? Am J Phys Med Rehabil 2006;85:814-19
13. Goldstein LB, Hey LA, Laney R: North Carolina Stroke Prevention and Treatment Facilities Survey: Statewide availability of programs and services. Stroke 2000;31: 66-70
14. Camilo O, Goldstein LB: Statewide Assessment of hospital-based stroke prevention and treatment ser-vices in North Carolina: Changes over the last 5 years. Stroke 2003;34:2945-50
15. http://www.jointcornrnission.org/CertificationPrograms/ PrimaryStrokeCenters/. Accessed August 25, 2008
16. http://www.qualitycheck.org/consumer/searchResults.-aspx?ddstatelist2= NC&ddcitylist=&st-cd=&st=NC&st-nm=NORTH+CAROLINA&cty-nm= &cty-id=-1 &careld=544&careldtracker=544. Accessed August 25, 2008
17. httpy://www.carf.org/consumeraspx?content=Consumer Search&id=7. Accessed August 25, 2008
18. http://www.healthypeople.gov/Document/HTML/ Volumel/01Access.htm#- Toc489432806. Accessed August 25, 2008
19. McGruder HF, Croft JB, Zheng ZJ: Characteristics of "ill- defined" diagnosis for stroke opportunities for improvement. Stroke 2006;37:781-9
20. http://www.ncruralcenter.org/databank/rural-county-map.asp. Accessed August 25, 2008
21. http://www.census.gov/cgi-bin/saipe/saipe.cgi?year=2005&type= county&table=county&submit=States%20%26%20Counties&areas= all&display-data=Display%20Data&tate=37. Accessed August 25,2008
22. Diez-Roux AV, Nieto FJ, Muntaner C, et al: Neighborhood environments and coronary heart disease: A multilevel analysis. Am J Epidemiol 1997;146:48-63
23. Fan ZJ, Lackland DT, Lipsitz SR, et al: Geographical patterns of end-stage renal disease incidence and risk factors in rural and urban areas of South Carolina. Health Place 2007;13:179-87
24. http://www.schs.state.nc.us/SCHS/brfss/2007/east/cvdstrk3.html. Accessed August 25, 2008
25. Charlson ME, Pompei P, Ales KL, et al: A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J Chronic Dis 1987;40:373-83
26. StataCorp [statistical software]. Release 8.0. College Station, TX, Stata Corporation, 2001
27. http://www.schs.state.nc.us/SCHS/rxlf/HealthProfile2007. pdf. Accessed August 25, 2008
28. Odderson IR, McKenna BS: A model for management of patients with stroke during the acute phase. Stroke 1993;24:1823-7
29. Lai SM, Alter M, Friday G, et al: Disposition after acute stroke: Who is not sent home from the hospital? Neuroepidemiology 1998;17:21-9
30. Schlegel D, Kolb SJ, Luciano JM, et al: Utility of the NIH stroke scale as a predictor of hospital disposition. Stroke 2003;34:134-7
31. Schlegel DJ, Tanne D, Demchuk AM; Multicenter rt-PA Stroke Survey Group: Prediction of hospital disposition after thrombolysis for acute ischemic stroke using the National Institutes of Health Stroke Scale. Arch Neurol 2004;61:1061-4
32. Browning CR, Cagney KA, Wen M: Explaining variation in health status across space and time: Implications for racial and ethnic disparities in self-rated health. Soc Sci Med 2003;57:1221-35
33. Schulz AJ, House JS, Israel BA, et al: Relational pathways between socioeconomic position and cardiovascular risk in a multiethnic urban sample: Complexities and their implications for improving health in economically disadvantaged populations. J Epidemiol Community Health 2008;62:638-46
34. Sampson RJ, Morenoff JD, Raudenbush S: Social anatomy of racial and ethnic disparities in violence. Am J Public Health 2005;95:224-32
35. Krieger N: A century of census tracts: Health and the body politic (1906-2006). J Urban Health 2006;83:355-61
36. Wilkinson RG, Pickett KE: Income inequality and socioeconomic gradients in mortality. Am J Public Health 2008;98:699-704
37. Neser WB, Tyroler HA, Cassel JC: Social disorganization and stroke mortality in the black population of North Carolina. Am J Epidemiol 1971;93:166-75
38. Aday LA, Andersen R: A framework for the study of access to medical care. Health Sew Res 1974;10:208-20