GENDER AND BEING BORN OVERSEAS INFLUENCES THE AMOUNT OF ACUTE STROKE THERAPY
AuthorCosgrave, L; Bernhardt, J; Churilov, L; Indredavik, B; Cumming, T
Source TitleJournal of Rehabilitation Medicine
PublisherFOUNDATION REHABILITATION INFORMATION
AffiliationFlorey Department Of Neuroscience And Mental Health
Document TypeJournal Article
CitationsCosgrave, L., Bernhardt, J., Churilov, L., Indredavik, B. & Cumming, T. (2013). GENDER AND BEING BORN OVERSEAS INFLUENCES THE AMOUNT OF ACUTE STROKE THERAPY. JOURNAL OF REHABILITATION MEDICINE, 45 (2), pp.130-136. https://doi.org/10.2340/16501977-1088.
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C1 - Journal Articles Refereed
OBJECTIVE: To identify patient factors that influence the amount, frequency and intensity of physical and occupational therapy received by patients each weekday within 14 days of stroke. DESIGN: Exploration of data from studies conducted to monitor activity and therapy. PARTICIPANTS: Stroke patients receiving active treatment (not for palliative care). Physiotherapists and occupational therapists. RESULTS: Therapy data for 274 patients from 7 hospitals were included. Patients received a median of 40.0 min of therapy (physiotherapy plus occupational therapy) per weekday. Multivariable regression found that women had 22% less total therapy per weekday (factor change 0.78, 95% confidence interval (CI): 0.66-0.9, p = 0.001) and a decreased likelihood of receiving two or more sessions of therapy per weekday. Those born overseas had 23% less high intensity therapy per weekday (Factor change 0.77, 95% CI: 0.71-0.84, p < 0.001). Those with more severe stroke had a greater likelihood of receiving two or more sessions of therapy per weekday (OR = 1.05, 95% CI: 1.02-1.09, p = 0.006) but increasing severity increased the odds of receiving no high intensity therapy by 7% (factor change 1.07, 95% CI: 1.02-1.11, p = 0.002). Age did not exhibit a significant association. CONCLUSION: There is some evidence that patient factors may influence the amount of therapy provided. Physiotherapists and occupational therapists should be aware of potential biases associated with therapy provision.
KeywordsPhysiotherapy; Rehabilitation and Therapy (excl. Physiotherapy); Clinical Sciences not elsewhere classified; Neurosciences not elsewhere classified; Expanding Knowledge in the Medical and Health Sciences; Clinical Health (Organs; Diseases and Abnormal Conditions) not elsewhere classified
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