title: [Physio- and occupational therapy pathways of stroke patients and stroke mortality].
abstract: OBJECTIVE
  This study examines the relationship between adherence to clinical guidelines and survival time in the first year after stroke.
  
  
  METHODS
  The sample comprises all clients of the Deutsche BKK, a large German health insurance company, who received acute inpatient care for stroke in 2007, who survived the hospital stay by at least 14 days, and who had motor deficits at the end of their acute treatment (n=1 791). 3 types of treatment that differ in the degree of adherence to clinical guidelines are identified ("Frühreha-Plus">"Standard-Plus">"Nur Akut").
  
  
  RESULTS
  There is a positive relationship between adherence to clinical guidelines and survival time, even when relevant covariates are controlled. The hazard-ratios are 0.49 for "Frühreha-Plus" and 0.65 for "Standard-Plus" compared to "Nur Akut".
  
  
  CONCLUSIONS
  Healthcare processes should be organized on the basis of cross-sector collaboration and in line with the recommendations of the guidelines.
authors.affiliation: Graduiertenkolleg "Multimorbidität im Alter" an der Charité-Universitätsmedizin Berlin und FG Strukturentwicklung und Qualitätsmanagement im Gesundheitswesen an der Technischen Universität Berlin.
authors.forename: D
authors.initials: D
authors.lastname: Peschke
authors.affiliation: Institut für Medizinische Soziologie an der Charité-Universitätsmedizin Berlin.
authors.forename: S
authors.initials: S
authors.lastname: Schnitzer
authors.affiliation: Institut für Medizinische Soziologie an der Charité-Universitätsmedizin Berlin.
authors.forename: A
authors.initials: A
authors.lastname: Kuhlmey
authors.affiliation: Institut für Medizinische Soziologie an der Charité-Universitätsmedizin Berlin.
authors.forename: L
authors.initials: L
authors.lastname: Schenk
mesh_terms: D000368:Aged; D019091:Critical Pathways / Q000592:standards / Q000706:statistics & numerical data; D018572:Disease-Free Survival; D005260:Female; D005858:Germany / Q000453:epidemiology; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D009788:Occupational Therapy / Q000592:standards* / Q000706:statistics & numerical data*; D026741:Physical Therapy Modalities / Q000401:mortality* / Q000592:standards* / Q000706:statistics & numerical data; D017410:Practice Guidelines as Topic; D015995:Prevalence; D012307:Risk Factors; D020521:Stroke / Q000401:mortality*; D000071939:Stroke Rehabilitation; D016019:Survival Analysis