title: Guidelines abstracted from the Department of Veterans Affairs/Department of Defense clinical practice guideline for the management of stroke rehabilitation.
abstract: OBJECTIVE
  To assist facilities in identifying those evidence-based processes of poststroke care that enhance measurable patient outcomes. The guideline(s) should be used by facilities (hospitals, subacute-care units and providers of long-term care) to implement a structured approach to improve rehabilitative practices and by clinicians to determine best interventions to achieve improved patient outcomes.
  
  
  METHODS
  The guideline considers five elements of poststroke rehabilitation care: interdisciplinary teams; use of standardized assessments; intensity, timing, and duration of therapy; involvement of patients' families and caregivers in decision-making; and educational interventions for patients, families, and caregivers. Evidence, benefits, harms, and recommendations for each of the five designated elements and specific annotated recommendations for poststroke managements are presented separately.
  
  
  RESULTS
  The overall guideline considers improvement in functional status measures as the primary outcome. Achieving community-dwelling status and preventing complications, death, and rehospitalization are also important outcomes. Costs are not specifically addressed.
  
  
  METHODS
  The Department of Veterans Affairs/Department of Defense (VA/DoD) Stroke Rehabilitation Working Group consisted of 28, largely VA and military hospital, representatives of medical and allied professions concerned with stroke diagnosis, management, and rehabilitation. Nine additional members with similar credentials served as the editorial committee. Technical consultation was contracted from ACS Federal Health Care, Inc., and the Center for Evidence-Based Practice, State University of New York-Upstate Medical University, Department of Family Medicine conducted evidence appraisal. Consensus was achieved over several years of facilitated group discussion and iterative evaluation of draft documents and supporting evidence.
  
  
  BACKGROUND
  The guideline was prepared under the auspices of the VA/DoD. No other source of support was identified in the document, or supporting documents.
authors.affiliation: Department of Clinical Medicine, University of Chicago, Chicago, Illinois, USA.
authors.forename: Miriam
authors.initials: M
authors.lastname: Rodin
authors.forename: Debra
authors.initials: D
authors.lastname: Saliba
authors.forename: Kenneth
authors.initials: K
authors.lastname: Brummel-Smith
mesh_terms: D042241:Early Diagnosis; D006801:Humans; D010348:Patient Care Team / Q000592:standards; D010353:Patient Education as Topic / Q000592:standards; D017410:Practice Guidelines as Topic; D011368:Professional-Family Relations; D012046:Rehabilitation / Q000592:standards; D000071939:Stroke Rehabilitation; D014481:United States; D014493:United States Department of Veterans Affairs