Continuing Stroke Recovery through Rehabilitation in the Community

Mental Health, Children and Community Care

Highlights

AMO-16-007 Little is known about what happens to stroke rehabilitation patients once discharged from inpatient rehabilitation. We have developed a model system of home and hospital-based interdisciplinary outpatient stroke rehab. Of 1,497 stroke patients discharged from an inpatient rehab unit, 721 actually attended one of these two outpatient programs. Younger, less disabled patients were more likely to attend a hospital-based outpatient rehab program while older more severe stroke patients were more likely to receive the same rehabilitation program at home. Severe stroke patients seem to benefit most from outpatient rehab in general, making significant functional gains while mild stroke patients made only limited gains. This is the first time a model stroke rehab outpatient program (as defined by the Canadian Practice Guidelines) has been evaluated and will serve to advise future planning for development of similar programs across the country as care moves out of hospitals into the community.

Abstract

AMO-16-007 Rationale: To facilitate greater continuity of care as patients transition through their stroke recovery, we wanted to study what happened to individuals after being discharged from stroke inpatient rehabilitation into a model outpatient rehabilitation program as defined by the Canadian Best Practice Guidelines.  Results: 1,497 patients discharged from the stroke rehabilitation unit at Parkwood Institute from 2009 to 2016 were studied. 891 (59.5%) were referred to one of two interdisciplinary outpatient stroke rehabilitation programs; one which was hospital-based and the other home-based. 80.9% (n=721) actually attended one of the outpatient therapy programs. Of those receiving outpatient therapy services, the number of patients attending the in-hospital versus home-based program were equal, 360 and 361 individuals, respectively. Patients receiving either hospital- or home-based therapy made significant gains as measured using the FIM, with the latter home-based group demonstrating modestly greater gains. Our data shows that on average, younger less severe strokes go to the hospital-based outpatient program while older more severe strokes receive the home-based outpatient program, as they often have more challenges in accessing hospital-based services. Stroke patients with mild disability did not significantly benefit from outpatient rehab as measured by improved FIM scores. 2  Importance: Inpatient stroke rehab admission FIM/RPG scores can help clinicians identify patients who will most benefit from outpatient therapy and the location of delivery of those services. Where resources are scarce, outpatient services should be prioritized to those individuals with more severe strokes, recognizing more of them will be referred to home-based outpatient services, as they have the greatest capacity for functional improvement.

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