Ischemic Stroke Clinical Trial
Official title:
Comparative Effectiveness of Rehabilitation Services for Survivors of Acute Ischemic Stroke
Retrospective analysis of Get With the Guidelines-Stroke data linked with Medicare claims and the AVAIL longitudinal data sets to assess patterns, predictors, and outcomes associated with the use of rehabilitation services following hospitalization for ischemic stroke. Primary completion defined as the end of primary analyses, consistent with the end of the PCORI Cycle I grant period. Study completion defined as acceptance of final research report and lay abstract by PCORI.
The investigators will seek to answer three questions:
1. What are the person- and system-level factors associated with use of rehabilitation
services following acute ischemic stroke?
2. Among stroke survivors discharged to short-term inpatient rehabilitation, are
high-intensity services performed at an Inpatient Rehabilitation Facility (IRF) more
effective than lower intensity services performed at a Skilled Nursing Facility (SNF),
at improving patient outcomes at 3 and 12 months?
3. Among stroke survivors discharged home, is early follow-up with a physician more
effective than follow-up after 7 days at 3 and 12 months?
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