title: Rehabilitation outcomes of stroke patients with and without diabetes.
abstract: OBJECTIVE
  To investigate the relation of diabetes comorbidity and the rehabilitation outcomes of patients with stroke.
  
  
  METHODS
  Secondary data analysis.
  
  
  METHODS
  Inpatient rehabilitation facilities.
  
  
  METHODS
  Patients with stroke (N=35,243) who received inpatient rehabilitation in 2004 through 2008.
  
  
  METHODS
  None.
  
  
  METHODS
  FIM, length of stay, and discharge destination.
  
  
  RESULTS
  Mean age ± SD of the sample was 71.0 ± 13.2 years. The percent of the sample of Medicare beneficiaries was 53.8%, whereas 46.2% had other sources of funding. Of the patients in the sample, 34.5% had a comorbidity of diabetes, with 17.2% classified as tier-eligible and 82.8% as nontier eligible. Findings included that patients in this sample with diabetes were admitted for rehabilitation services at a younger age than those without diabetes and support previous studies in which tier-eligible diabetes comorbidities moderated by patient age were found to be significant predictors of stroke rehabilitation outcomes. Furthermore, similar findings remained regardless of payer source.
  
  
  CONCLUSIONS
  This study provides additional evidence that diabetes as a comorbidity is significantly related to stroke rehabilitation outcome, but the relation is moderated by patient age.
authors: Department of Occupational Therapy, UT Health Science Center at San Antonio, San Antonio, TX, USA. piernikyoder@uthscsa.edu
authors: Bridgett
authors: B
authors: Piernik-Yoder
authors: Norma
authors: N
authors: Ketchum
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D015331:Cohort Studies; D048909:Diabetes Complications / Q000150:complications* / Q000534:rehabilitation; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D020127:Recovery of Function / Q000502:physiology; D020521:Stroke / Q000150:complications / Q000503:physiopathology; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome
keywords: CI; CVA; Diabetes mellitus; ICD-9; International Classification of Diseases, 9th Revision; OR; PPS; Rehabilitation; Stroke; cerebrovascular accident; confidence interval; odds ratio; prospective payment system