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Title: Use of time by stroke patients. A comparison of four European rehabilitation centers
Authors: De Wit, Liesbet ×
Putman, Koen
Dejaeger, Eddy
Baert, Ilse
Berman, Peter
Bogaerts, Kris
Brinkmann, Nadine
Connell, Louise
Feys, Hilde
Jenni, Walter
Kaske, Christiane
Lesaffre, Emmanuel
Leys, Mark
Lincoln, Nadina
Louckx, Fred
Schuback, Birgit
Schupp, Wilfried
Smith, Bozena
De Weerdt, Willy #
Issue Date: Sep-2005
Publisher: Lippincott Williams & Wilkins
Series Title: Stroke vol:36 issue:9 pages:1977-1983
Abstract: BACKGROUND AND PURPOSE: Differences exist between European countries in the proportion of patients who die or become dependent after stroke. The aim of the present study was to identify differences in the use of time by stroke patients in 4 rehabilitation centers in 4 European countries. METHODS: In each of the 4 centers, 60 randomly selected stroke patients were observed at 10-minute intervals using behavioral mapping. Observations took place on 30 weekdays selected at random, on equal numbers of morning, afternoon, and evening sessions. A logistic generalized estimating equation model with correction for differences in case mix and multiple testing was used for the analysis. RESULTS: Overall time available from different professions was the highest in the United Kingdom, but patients in the United Kingdom spent on average only 1 hour per day in therapy. This was significantly less than patients in Belgium and Germany, who spent approximately 2 hours, and patients in Switzerland who spent approximately 3 hours per day in therapy. In all centers, patients spent less than half their time in interactions and >72% of the time in nontherapeutic activities. CONCLUSIONS: Important differences in the use of time were established, which appeared dependent on management decisions rather than the number of staff available. Patients in the Swiss and German centers spent more time in therapy, possibly because of the structured organization of rehabilitation. Further studies will verify whether this has an effect on outcome.
ISSN: 0039-2499
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Research Group for Neuromotor Rehabilitation
Research Group for Adapted Physical Activity and Psychomotor Rehabilitation
Leuven Biostatistics and Statistical Bioinformatics Centre (L-BioStat)
Gerontology and Geriatrics
Department of Rehabilitation Sciences - miscellaneous
Research Group for Musculoskeletal Rehabilitation
× corresponding author
# (joint) last author

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