title: Skilled nursing facility rehabilitation and discharge to home after stroke.
abstract: OBJECTIVE
  To determine the relation between rehabilitation therapy (RT) intensity and time to discharge home for stroke patients in skilled nursing facilities (SNFs).
  
  
  METHODS
  Retrospective cohort study. We used regression analyses, stratified by expected outcome, and propensity score adjustment. Setting All SNFs in Ohio, Michigan, and Ontario, Canada.
  
  
  METHODS
  A cohort of residents, aged 65 and over, admitted from hospitals to SNFs with a diagnosis of stroke (N=23,824).
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Time to discharge home from an SNF.
  
  
  RESULTS
  RT was given to more than 95% of residents for whom discharge was expected within 90 days and to more than 60% of residents for whom discharge was uncertain or not expected. RT increased the likelihood of discharge to the community for all groups except those expected to be discharged within 30 days. The dose-response relation was strongest for residents with either an uncertain discharge prognosis or no discharge expected.
  
  
  CONCLUSIONS
  Postacute residents with an uncertain prognosis are an important target population for intensive RT.
authors.affiliation: Toronto Rehabilitation Institute Toronto, ON Canada.
authors.forename: Walter P
authors.initials: WP
authors.lastname: Wodchis
authors.forename: Gary F
authors.initials: GF
authors.lastname: Teare
authors.forename: Gary
authors.initials: G
authors.lastname: Naglie
authors.forename: Susan E
authors.initials: SE
authors.lastname: Bronskill
authors.forename: Sudeep S
authors.initials: SS
authors.lastname: Gill
authors.forename: Michael P
authors.initials: MP
authors.lastname: Hillmer
authors.forename: Geoff M
authors.initials: GM
authors.lastname: Anderson
authors.forename: Paula A
authors.initials: PA
authors.lastname: Rochon
authors.forename: Brant E
authors.initials: BE
authors.lastname: Fries
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D015337:Multicenter Studies as Topic; D010351:Patient Discharge / Q000706:statistics & numerical data*; D011379:Prognosis; D012044:Regression Analysis; D012189:Retrospective Studies; D012866:Skilled Nursing Facilities / Q000706:statistics & numerical data*; D000071939:Stroke Rehabilitation; D013997:Time Factors; D016896:Treatment Outcome