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Medicare Nursing Home Residents with a Stroke

Characteristics and 90-Day Outcomes of Care

Bibliographic Data

ID12797809
AuthorsKatherine Berg (Brown University, corresponding author), Vince Mor (Brown University)
Year1995
Volume7
Issue3
Pages384-401
Publication date1995-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Aging and Health (JOURNAL)
Journal identifiersISSN: 1552-6887 • E-ISSN: 0898-2643
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/089826439500700303
PMID10165971
OpenAlexW1969842854
LanguageEN
Citations received1
References cited16

The objective of this article is to describe the characteristics and outcomes of Medicare patients admitted to nursing homes with a primary diagnosis of stroke. This study used longitudinal clinical information prospectively collected in National Health Corporation (NHC) nursing homes on admission and at discharge or death. In total, 2,345 residents met the following study criteria: age 40 and over, newly admitted from a general hospital to a NHC home under Medicare, and previously living in the community. The outcomes were functional status and discharge disposition within 90 days. By 90-days post admission, 27.4% remained in the nursing home, 22.4% had gone home, 25.7% had been readmitted to a general hospital, 8.7% had entered another facility, and 15.6% of the patients with stroke had died. Residents who went home showed the greatest improvement in functional status in Barthel Index scores, from 35.2 (SD 21.1) to 47 (SD 25.6); 20% were totally dependent and only 34% scored above 60 on the index. Further study is needed to examine the functional outcomes of stroke survivors over the longer term and compare the relative effectiveness of nursing home interventions with other postacute care options

Medical emergency · MEDLINE · Nursing homes · Stroke (engine · Acute Ischemic Stroke Management · Medicine · Neurological disorders and treatments · Nursing · Stroke Rehabilitation and Recovery · Gerontology

  • Facility Characteristics Associated With Hospitalization of Nursing Home Residents

    Orna Intrator, Nicholas G Castle et al.•Medical Care•1999

  • Improving the sensitivity of the Barthel Index for stroke rehabilitation

    Open Access•Surya Shah, Frank Vanclay et al.•Journal of Clinical Epidemiology•1989

  • Comorbidity and Its Impact on Disability

    Lois M Verbrugge, James M Lepkowski et al.•Milbank Quarterly•1989

  • The outcomes of patients newly admitted to nursing homes after hip fracture

    Douglas P Kiel, Ann Eichorn et al.•American Journal of Public Health•1994

  • Functional Status Outcomes in Rehabilitation

    Nancy Harada, Nancy D Harada et al.•Medical Care•1993

Unique citing works1
Citations per year0,04
Citation span1999 - 1999 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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