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Additional weekend therapy may reduce length of rehabilitation stay after stroke: a meta-analysis of individual patient data

English, Coralie, Shields, Nora, Brusco, Natasha K., Taylor, Nicholas F., Watts, Jennifer J., Peiris, Casey, Bernhardt, Julie, Crotty, Maria, Esterman, Adrian, Segal, Leonie and Hillier, Susan 2016, Additional weekend therapy may reduce length of rehabilitation stay after stroke: a meta-analysis of individual patient data, Journal of physiotherapy, vol. 62, no. 3, pp. 124-129, doi: 10.1016/j.jphys.2016.05.015.

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Title Additional weekend therapy may reduce length of rehabilitation stay after stroke: a meta-analysis of individual patient data
Author(s) English, Coralie
Shields, Nora
Brusco, Natasha K.
Taylor, Nicholas F.
Watts, Jennifer J.
Peiris, Casey
Bernhardt, Julie
Crotty, Maria
Esterman, Adrian
Segal, Leonie
Hillier, Susan
Journal name Journal of physiotherapy
Volume number 62
Issue number 3
Start page 124
End page 129
Total pages 6
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2016-07
ISSN 1836-9561
Keyword(s) Occupational therapy
Physical therapy
Rehabilitation
Stroke
Weekend therapy
Science & Technology
Life Sciences & Biomedicine
Orthopedics
RANDOMIZED CONTROLLED-TRIAL
ALLIED HEALTH-SERVICES
CIRCUIT CLASS
INTENSITY
SETTINGS
PROTOCOL
OUTCOMES
CIRCIT
COST
Summary QUESTIONS: Among people receiving inpatient rehabilitation after stroke, does additional weekend physiotherapy and/or occupational therapy reduce the length of rehabilitation hospital stay compared to those who receive a weekday-only service, and does this change after controlling for individual factors? Does additional weekend therapy improve the ability to walk and perform activities of daily living, measured at discharge? Does additional weekend therapy improve health-related quality of life, measured 6 months after discharge from rehabilitation? Which individual, clinical and hospital characteristics are associated with shorter length of rehabilitation hospital stay? DESIGN: This study pooled individual data from two randomised, controlled trials (n=350) using an individual patient data meta-analysis and multivariate regression. PARTICIPANTS: People with stroke admitted to inpatient rehabilitation facilities. INTERVENTION: Additional weekend therapy (physiotherapy and/or occupational therapy) compared to usual care (5 days/week therapy). OUTCOME MEASURES: Length of rehabilitation hospital stay, independence in activities of daily living measured with the Functional Independence Measure, walking speed and health-related quality of life. RESULTS: Participants who received weekend therapy had a shorter length of rehabilitation hospital stay. In the un-adjusted analysis, this was not statistically significant (MD -5.7 days, 95% CI -13.0 to 1.5). Controlling for hospital site, age, walking speed and Functional Independence Measure score on admission, receiving weekend therapy was significantly associated with a shorter length of rehabilitation hospital stay (β=7.5, 95% CI 1.7 to 13.4, p=0.001). There were no significant between-group differences in Functional Independence Measure scores (MD 1.9 points, 95% CI -2.8 to 6.6), walking speed (MD 0.06 m/second, 95% CI -0.15 to 0.04) or health-related quality of life (SMD -0.04, 95% CI -0.26 to 0.19) at discharge. DISCUSSION: Modest evidence indicates that additional weekend therapy might reduce rehabilitation hospital length of stay.
Language eng
DOI 10.1016/j.jphys.2016.05.015
Field of Research 110999 Neurosciences not elsewhere classified
110321 Rehabilitation and Therapy (excl Physiotherapy)
Socio Economic Objective 920201 Allied Health Therapies (excl. Mental Health Services)
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30084389

Document type: Journal Article
Collection: Population Health
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