No Racial Difference in Rehabilitation Therapy Across All Post-Acute Care Settings in the Year Following a Stroke

Stroke; a Journal of Cerebral Circulation
L E SkolarusJames F Burke

Abstract

Black stroke survivors experience greater poststroke disability than whites. Differences in post-acute rehabilitation may contribute to this disparity. Therefore, we estimated racial differences in rehabilitation therapy utilization, intensity, and the number of post-acute care settings in the first year after a stroke. We used national Medicare data to study 186 168 elderly black and white patients hospitalized with a primary diagnosis of stroke in 2011. We tabulated the proportion of stroke survivors receiving physical, occupational, and speech and language therapy in each post-acute care setting (inpatient rehabilitation facility, skilled nursing facility, and home health agency), minutes of therapy, and number of transitions between settings. We then used generalized linear models to determine whether racial differences in minutes of physical therapy were influenced by demographics, comorbidities, thrombolysis, and markers of stroke severity. Black stroke patients were more likely to receive each type of therapy than white stroke patients. Compared with white stroke patients, black stroke patients received more minutes of physical therapy (897.8 versus 743.4;P<0.01), occupational therapy (752.7 versus 648.9;P<0.01), and spe...Continue Reading

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Citations

Sep 7, 2018·Topics in Stroke Rehabilitation·Lynda D LisabethLewis B Morgenstern
May 15, 2020·Stroke; a Journal of Cerebral Circulation·Lesli E SkolarusJames F Burke
May 26, 2018·MMWR. Morbidity and Mortality Weekly Report·Carma AyalaFleetwood Loustalot
Jan 31, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Colleen N BartleyAnthony Charles
Dec 19, 2018·Journal of Racial and Ethnic Health Disparities·Penny H FeldmanJeanne Teresi
Mar 9, 2021·Archives of Physical Medicine and Rehabilitation·Kent P SimmondsMathew Reeves
Aug 20, 2021·American Journal of Speech-language Pathology·Robert CavanaughWilliam S Evans
Aug 27, 2021·Journal of the Academy of Consultation-Liaison Psychiatry·Simon LadwigKatja Werheid

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