Original researchAssociation Between 7 Days Per Week Rehabilitation and Functional Recovery of Patients With Acute Stroke: A Retrospective Cohort Study Based on the Japan Rehabilitation Database
Section snippets
Data source
The Japan Rehabilitation Database was established in 2012 with financial support from the Ministry of Health, Labor, and Welfare of Japan.12 Data of the Japan Rehabilitation Databank, which was established in 2005, were also merged with the Japan Rehabilitation Database. The database contains detailed data collected on patients who were admitted to the participating hospitals during the period between January 2005 and December 2013. The database was constructed with voluntary samples, not
Results
Figure 1 shows the patients selection procedure. Within the time specified for the study, 8033 patients with stroke were admitted to the participating hospitals. Among them, 3072 patients met the criteria set in this study. Table 1 presents the clinical characteristics of the study patients. Seven days per week of rehabilitation was provided to 1075 patients (35.0%). There was a significant difference in functional recovery between the 7d/wk rehabilitation and non–7d/wk rehabilitation groups
Discussion
In this study, we prospectively analyzed a large inpatient database of 3072 patients with acute stroke to examine the effect of 7d/wk of rehabilitation on functional outcome. The results showed that 7d/wk of rehabilitation for acute stroke was associated with significant favorable functional recovery. The Japan Rehabilitation Database includes data from a large number of patients under a multicenter registry of several hospitals across Japan; therefore, the strong statistical power of this
Conclusions
In this cohort study, analysis of the Japan Rehabilitation Database identified 7d/wk of rehabilitation provided during rehabilitation for patients with acute stroke as a significant predictor of good functional prognosis.
Suppliers
- a.
SPSS 19.0; IBM.
- b.
G*Power 3.1.9.2; Franz Faul, Heinrich Heine University Düsseldorf.
Acknowledgment
We thank the Japan Association of Rehabilitation Database for database provision.
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2018, Journal of PhysiotherapyCitation Excerpt :There was adequate reporting of methods to control for potential risk of comparability bias for all studies. Seven studies reported adequate methods to control for potential outcome or exposure risk of bias,34,36,38,39,41–43 with three studies potentially at risk of outcome bias.35,37,40 Ten randomised, controlled trials (published in nine articles) evaluated the effect of providing allied health services during weekends.
Disclosures: none.