Evidence map›Paper›PMID 21807141›Full record

ArticleArchives of physical medicine and rehabilitation2011

Disparities in postacute rehabilitation care for stroke: an analysis of the state inpatient databases.

Janet K Freburger, George M Holmes, Li-Jung E Ku, Malcolm P Cutchin, Kendra Heatwole-Shank, Lloyd J Edwards

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 1 synthesis or guideline pooled it, 118 citations in OpenAlex.

  1. Pooled it
  2. Ethnic Differences in Postacute Stroke Rehabilitation.Archives of physical medicine and rehabilitation · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Janet K FreburgerCecil G. Sheps Center for HealthServices Research, University of North Carolina at Chapel Hill, 725 Martin Luther King Jr. Blvd., Chapel Hill, NC 27599-7590, USA. janet_freburger@unc.edu
George M Holmes
Li-Jung E Ku
Malcolm P Cutchin
Kendra Heatwole-Shank
Lloyd J Edwards
Institute on Aging · USUniversity of North Carolina at Chapel Hill · US

Funding

Disparities in Post-Acute Rehabilitation CareR21HD057980 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FREBURGER, JANET KUES · 2008 to 2009
$364k
NICHD NIH HHS R21 HD057980
6 · The paper itself

Abstract

objectiveTo determine the extent to which sociodemographic and geographic disparities exist in the use of postacute rehabilitation care (PARC) after stroke.

designCross-sectional analysis of data for 2 years (2005-2006) from the State Inpatient Databases.

settingAll short-term acute-care hospitals in 4 demographically and geographically diverse states.

participantsIndividuals (age, ≥45y; mean age, 72.6y) with a primary diagnosis of stroke who survived their inpatient stay (N=187,188). The sample was 52.4% women, 79.5% white, 11.4% black, and 9.1% Hispanic.

interventionsNot applicable.

main outcome measures(1) Discharge to an institution versus home. (2) For those discharged to home, receipt of home health (HH) versus no HH care. (3) For those discharged to an institution, receipt of inpatient rehabilitation facility (IRF) or skilled nursing facility (SNF) care. Multilevel logistic regression analyses were conducted to identify sociodemographic and geographic disparities in PARC use, controlling for illness severity/comorbid conditions, hospital characteristics, and PARC supply.

resultsBlacks, women, older individuals, and those with lower incomes were more likely to receive institutional care; Hispanics and the uninsured were less likely. Racial minorities, women, older individuals, and those with lower incomes were more likely to receive HH care; uninsured individuals were less likely. Blacks, women, older individuals, the uninsured, and those with lower incomes were more likely to receive SNF versus IRF care. PARC use varied significantly by hospital and geographic location.

conclusionsSeveral sociodemographic and geographic disparities in PARC use were identified.

Indexed as

Healthcare DisparitiesStroke RehabilitationAgedComorbidityCross-Sectional StudiesDatabases, FactualFemaleHumansInpatientsLogistic ModelsMaleMiddle AgedPatient DischargeRisk FactorsTreatment OutcomeUnited States

Identifiers

PMID21807141
PMCPMC4332528
OpenAlexW2045327518

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.