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Predictors of Gains During Inpatient Rehabilitation in Patients with Stroke: A Review

  • Author(s): Chang, Eric Y
  • Chang, Enoch
  • Cragg, Samantha
  • Cramer, Steven C
  • et al.
Abstract

Stroke remains a major cause of disability. The cost of stroke rehabilitation is substantial. Understanding the factors that predict response to inpatient stroke rehabilitation may be useful, for example, to best individualize the content of therapy or maximize the efficiency with which resources are directed. This review evaluated the literature and found that numerous variables were associated with outcome after inpatient stroke rehabilitation. The strongest evidence exists for factors such as age, stroke subtype, nutritional status, and psychosocial factors such as living with family before the stroke or the presence of a caregiver. Functional status at admission, urinary incontinence, infection after stroke, and aphasia each can also affect prognosis. Strengths and weaknesses of cited studies were considered in an attempt to inform the design of future studies examining factors that predict response to inpatient rehabilitation after stroke. © 2013 by Begell House, Inc.

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