The disability oriented rehabilitation unit — A major factor influencing stroke outcome

Joel S. FeiGenson, Howard Gitlow, Susan D. Greenberg

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Many investigators have analyzed the effectiveness of the cardiac care unit (as a model of a disability oriented, specially staffed, geographically isolated unit) in altering outcome following acute myocardial infarction. Little data are available, however, on the efficacy of caring for patients with stroke on specially staffed disability oriented units. Of 667 patients with stroke recently discharged from the Burke Rehabilitation Center, 589 were admitted to the stroke unit (SU group) and 78 were admitted to other units (NSU group). Statistical analysis showed that the SU patients were significantly weaker, had longer onset-admission intervals, and exhibited more concurrent medical problems and neurologic deficits. There were no statistically significant intergroup differences in age, sex, and distribution of weakness. Both groups had similar treatment programs provided by staff who had rotated through the stroke unit. Ability to perform activities of daily living (dressing, feeding, hygiene, bowel and bladder routines) and length of hospitalization were similar for both groups. SU patients walked better and went home more frequently than NSU patients. These data indicate that even in a rehabilitation center specializing in treating functional disabilities, patients with stroke are more likely to improve if placed on a disability oriented unit than if they are admitted to mixed disability units which are scattered throughout the hospital.

Original languageEnglish (US)
Pages (from-to)5-8
Number of pages4
JournalStroke
Volume10
Issue number1
DOIs
StatePublished - Jan 1 1979

Fingerprint

Rehabilitation
Stroke
Rehabilitation Centers
Sex Distribution
Aptitude
Age Distribution
Bandages
Activities of Daily Living
Neurologic Manifestations
Hygiene
Urinary Bladder
Hospitalization
Myocardial Infarction
Research Personnel
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

Cite this

The disability oriented rehabilitation unit — A major factor influencing stroke outcome. / FeiGenson, Joel S.; Gitlow, Howard; Greenberg, Susan D.

In: Stroke, Vol. 10, No. 1, 01.01.1979, p. 5-8.

Research output: Contribution to journalArticle

FeiGenson, Joel S. ; Gitlow, Howard ; Greenberg, Susan D. / The disability oriented rehabilitation unit — A major factor influencing stroke outcome. In: Stroke. 1979 ; Vol. 10, No. 1. pp. 5-8.
@article{0c5869cba8ce4a138acbc9726cb3ec6d,
title = "The disability oriented rehabilitation unit — A major factor influencing stroke outcome",
abstract = "Many investigators have analyzed the effectiveness of the cardiac care unit (as a model of a disability oriented, specially staffed, geographically isolated unit) in altering outcome following acute myocardial infarction. Little data are available, however, on the efficacy of caring for patients with stroke on specially staffed disability oriented units. Of 667 patients with stroke recently discharged from the Burke Rehabilitation Center, 589 were admitted to the stroke unit (SU group) and 78 were admitted to other units (NSU group). Statistical analysis showed that the SU patients were significantly weaker, had longer onset-admission intervals, and exhibited more concurrent medical problems and neurologic deficits. There were no statistically significant intergroup differences in age, sex, and distribution of weakness. Both groups had similar treatment programs provided by staff who had rotated through the stroke unit. Ability to perform activities of daily living (dressing, feeding, hygiene, bowel and bladder routines) and length of hospitalization were similar for both groups. SU patients walked better and went home more frequently than NSU patients. These data indicate that even in a rehabilitation center specializing in treating functional disabilities, patients with stroke are more likely to improve if placed on a disability oriented unit than if they are admitted to mixed disability units which are scattered throughout the hospital.",
author = "FeiGenson, {Joel S.} and Howard Gitlow and Greenberg, {Susan D.}",
year = "1979",
month = "1",
day = "1",
doi = "10.1161/01.STR.10.1.5",
language = "English (US)",
volume = "10",
pages = "5--8",
journal = "Stroke",
issn = "0039-2499",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - The disability oriented rehabilitation unit — A major factor influencing stroke outcome

AU - FeiGenson, Joel S.

AU - Gitlow, Howard

AU - Greenberg, Susan D.

PY - 1979/1/1

Y1 - 1979/1/1

N2 - Many investigators have analyzed the effectiveness of the cardiac care unit (as a model of a disability oriented, specially staffed, geographically isolated unit) in altering outcome following acute myocardial infarction. Little data are available, however, on the efficacy of caring for patients with stroke on specially staffed disability oriented units. Of 667 patients with stroke recently discharged from the Burke Rehabilitation Center, 589 were admitted to the stroke unit (SU group) and 78 were admitted to other units (NSU group). Statistical analysis showed that the SU patients were significantly weaker, had longer onset-admission intervals, and exhibited more concurrent medical problems and neurologic deficits. There were no statistically significant intergroup differences in age, sex, and distribution of weakness. Both groups had similar treatment programs provided by staff who had rotated through the stroke unit. Ability to perform activities of daily living (dressing, feeding, hygiene, bowel and bladder routines) and length of hospitalization were similar for both groups. SU patients walked better and went home more frequently than NSU patients. These data indicate that even in a rehabilitation center specializing in treating functional disabilities, patients with stroke are more likely to improve if placed on a disability oriented unit than if they are admitted to mixed disability units which are scattered throughout the hospital.

AB - Many investigators have analyzed the effectiveness of the cardiac care unit (as a model of a disability oriented, specially staffed, geographically isolated unit) in altering outcome following acute myocardial infarction. Little data are available, however, on the efficacy of caring for patients with stroke on specially staffed disability oriented units. Of 667 patients with stroke recently discharged from the Burke Rehabilitation Center, 589 were admitted to the stroke unit (SU group) and 78 were admitted to other units (NSU group). Statistical analysis showed that the SU patients were significantly weaker, had longer onset-admission intervals, and exhibited more concurrent medical problems and neurologic deficits. There were no statistically significant intergroup differences in age, sex, and distribution of weakness. Both groups had similar treatment programs provided by staff who had rotated through the stroke unit. Ability to perform activities of daily living (dressing, feeding, hygiene, bowel and bladder routines) and length of hospitalization were similar for both groups. SU patients walked better and went home more frequently than NSU patients. These data indicate that even in a rehabilitation center specializing in treating functional disabilities, patients with stroke are more likely to improve if placed on a disability oriented unit than if they are admitted to mixed disability units which are scattered throughout the hospital.

UR - http://www.scopus.com/inward/record.url?scp=0018341105&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0018341105&partnerID=8YFLogxK

U2 - 10.1161/01.STR.10.1.5

DO - 10.1161/01.STR.10.1.5

M3 - Article

C2 - 155326

AN - SCOPUS:0018341105

VL - 10

SP - 5

EP - 8

JO - Stroke

JF - Stroke

SN - 0039-2499

IS - 1

ER -