https://orcid.org/0000-0001-8345-5147
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ABSTRACT
Objectives
Evidence shows that rehabilitation is the most effective strategy to reduce the disability rate of patients with stroke. However, there is limited understanding about the factors associated with rehabilitation assessment among patients with intracerebral hemorrhage (ICH) in China. We aimed to investigate the factors associated with rehabilitation assessment in patients with ICH and the relationship between rehabilitation assessment and hospitalization outcomes.
Methods
Data from 85,664 patients with ICH admitted to 1,312 hospitals between 1 August 2015 and 31 July 2019 were analyzed. A multivariable logistic regression model accounting for in-hospital clustering was used to identify patient and hospital factors associated with rehabilitation assessment during acute hospitalization.
Results
A total of 62,228 (72.6%) patients with ICH underwent rehabilitation assessments. In multivariable analyses, factors associated with an increased likelihood of undergoing a rehabilitation assessment (P < .05) included a higher Glasgow Coma Scale score on admission, a history of hypertension, a history of peripheral vascular disease, dysphagia screening, carotid vessel imaging, and a longer length of hospital stay. Conversely, patients admitted to the intensive care unit and tertiary-grade hospitals were less likely to undergo rehabilitation assessments during hospitalization for ICH.
Discussion
This study showed that the rate of rehabilitation assessment was 74.2%, which is low. Rehabilitation assessment was associated with longer hospital stays and lower mortality. Therefore, patients with acute cerebral haemorrhage should undergo comprehensive and professional rehabilitation assessment.
Geolocation information
No.119 South Fourth Ring West Road, Fengtai District, Beijing,100,070 P.R.China
Acknowledgments
We thank the CSCA collaborating centers, members, and volunteers for their hard work and effort. We thank every participant who contributed important and invaluable data to CSCA.
Disclosure statement
The authors declare that they have no conflict of interest.
Data availability statement
The data that support the findings of this study are available from the corresponding author upon reasonable request. http://paper.ncrcnd.ttctrc.com/default/project-detail?id=290
Additional information
Funding
Notes on contributors
Jin-Ju Sun
Jin-Ju Sun is a nurse of Neurology Department of Beijing Tiantan Hospital affiliated to the Capital Medical University.She has extensive experience in the care of stroke patients
Yong-Mei Deng
Yong-Mei Deng is a head nurse of Neurology Department of Beijing Tiantan Hospital affiliated to the Capital Medical University.She has extensive experience in nursing and nursing management of stroke patients.
Dan-Dan Wang
Dan-Dan Wang is the Doctor of Neurology Department of Beijing Tiantan Hospital affiliated to the Capital Medical University. She has valuable experiences in diagnosis and treatment of cerebrovascular disease and neurology intensive care.
Yong-Jun Wang is the vice president and also the chief physician and professor of Neurology Department of Beijing Tiantan Hospital affiliated to Capital Medical University. He is a postgraduate supervisor of Capital Medical University. He is well experienced in the diagnosis and treatment of cerebrovascular disease, including stroke prevention,first aid, and acute stage treatment. Dr. Wang is the secretary-general of International Chinese Stroke Federation, the committeeman of Physiology and Metabolism Branch of American Heart Association Stroke Expert Committee/United States National Stroke Association/American Heart Association, and the expert member of National Continuing Medical Education Committee.
Hong-Qiu Gu
Hong-Qiu Gu is the statistician of China National Clinical Research Center for Neurological Diseases.
Qi Zhou
Qi Zhou is the statistician of China National Clinical Research Center for Neurological Diseases.
Yong-Jun Wang
Dan-Dan Wang is the Doctor of Neurology Department of Beijing Tiantan Hospital affiliated to the Capital Medical University. She has valuable experiences in diagnosis and treatment of cerebrovascular disease and neurology intensive care.
Yong-Jun Wang is the vice president and also the chief physician and professor of Neurology Department of Beijing Tiantan Hospital affiliated to Capital Medical University. He is a postgraduate supervisor of Capital Medical University. He is well experienced in the diagnosis and treatment of cerebrovascular disease, including stroke prevention,first aid, and acute stage treatment. Dr. Wang is the secretary-general of International Chinese Stroke Federation, the committeeman of Physiology and Metabolism Branch of American Heart Association Stroke Expert Committee/United States National Stroke Association/American Heart Association, and the expert member of National Continuing Medical Education Committee.
Zi-Xiao Li
Zi-Xiao Li is the chief physician and associate professor of Neurology Department of Beijing Tiantan Hospital affiliated to the Capital Medical University. He is also a postgraduate supervisor of Capital Medical University.Dr. Li has valuable experiences in diagnosis and treatment of cerebrovascular disease and neurology intensive care.
Xing-Quan Zhao
Xing-Quan Zhao is the chief physician and professor of Neurology Department of Beijing Tiantan Hospital affiliated to the Capital Medical University. He is also the executive director of Stroke Unit of Neurology Department and a postgraduate supervisor of Capital Medical University.Dr. Zhao has valuable experiences in diagnosis and treatment of cerebrovascular disease and neurology intensive care.