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dc.contributor.authorGrimley, Rohan
dc.contributor.authorKuys, Suzanne
dc.contributor.authorGustafsson, Louise
dc.contributor.authorHorton, Eleanor
dc.contributor.authorGreen, Theresa
dc.contributor.authorCadigan, Greg
dc.contributor.authorCadilhac, Dominique
dc.contributor.authorRosbergen, Ingrid
dc.date.accessioned2021-02-25T23:27:51Z
dc.date.available2021-02-25T23:27:51Z
dc.date.issued2018
dc.identifier.issn1747-4930
dc.identifier.urihttp://hdl.handle.net/10072/402613
dc.description.abstractBackground: National guidelines recommend a minimum of three hours scheduled active therapy (occupational therapy and physiotherapy) per weekday after acute stroke. Little is known about dose of rehabilitation received. Aims: To describe current dose of active rehabilitation therapy following acute stroke across different rehabilitation settings. Methods: Prospective observational cohort study of consecutive patients who received rehabilitation after acute stroke in seven sites. We collected data on therapy delivered by allied health professionals (duration, professional group, setting) through all types of rehabilitation episodes up to 6-months post stroke. Active therapy time was defined as face-to-face physiotherapy or occupational therapy in minutes/weekday. Descriptive analyses are presented. Results: 368 patients received rehabilitation (40% female, mean age 71). Median (IQR) active therapy dose was 42 minutes/weekday (IQR 15, 87). Active therapy dose in minutes/weekday (IQR) within different rehabilitation settings was: statistical rehabilitation episodes in acute stroke unit (ASU) 104 (48,168); inpatient rehabilitation units (IRU) 95 (63,135); centre and home-based community rehabilitation (CR)10 (4,22); and transition care (TC) 19 (9,31). Median total active therapy per patient across all episodes (mean 1.2 episodes / patient) was 22 hours (IQR 5.7, 54): ASU 9hours (3,26), IRU 30hours (12,60), CR 3hours (1, 7), and TC 11hours (5,19). Daily dose of active therapy exceeded 3 hours in 11% of all episodes: 24% in ASU, 10% in IRU, 3% in CR, and 5% in TC. Conclusion: Active therapy guideline recommendations are not being met for most stroke survivors across all settings.
dc.languageEnglish
dc.publisherSage Publications Ltd
dc.publisher.urihttps://journals.sagepub.com/doi/full/10.1177/1747493018778666
dc.relation.ispartofconferencenameStroke 2018 Conference
dc.relation.ispartofconferencetitleInternational Journal of Stroke
dc.relation.ispartofdatefrom2018-08-07
dc.relation.ispartofdateto2018-08-10
dc.relation.ispartoflocationSydney, Australia
dc.relation.ispartofpagefrom19
dc.relation.ispartofpageto19
dc.relation.ispartofissue1_suppl
dc.relation.ispartofvolume13
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchNeurosciences
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1109
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsClinical Neurology
dc.subject.keywordsPeripheral Vascular Disease
dc.subject.keywordsNeurology
dc.titleGuideline recommendations for active therapy dose following acute stroke are not being met in any setting
dc.typeConference output
dc.type.descriptionE3 - Conferences (Extract Paper)
dcterms.bibliographicCitationGrimley, R; Kuys, S; Gustafsson, L; Horton, E; Green, T; Cadigan, G; Cadilhac, D; Rosbergen, I, Guideline recommendations for active therapy dose following acute stroke are not being met in any setting, International Journal of Stroke, 2018, 13, pp. 19-19
dc.date.updated2021-02-25T23:24:06Z
gro.hasfulltextNo Full Text
gro.griffith.authorGustafsson, Louise
gro.griffith.authorKuys, Suzanne S.


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