The Impact of Severity, Timing, and Sex on Outcomes of Inpatient Stroke Rehabilitation

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dc.contributor.advisorKing-Shier, Kathryn M.
dc.contributor.advisorDukelow, Sean P.
dc.contributor.authorTanlaka, Eric Fover
dc.contributor.committeememberVenturato, Lorraine
dc.contributor.committeememberKing-Shier, Kathryn M.
dc.contributor.committeememberDukelow, Sean P.
dc.contributor.committeememberGreen, Theresa L.
dc.contributor.committeememberSeneviratne, Cydnee C.
dc.contributor.committeememberEwashen, Carol J.
dc.contributor.committeememberTeasell, Robert
dc.date2020-06
dc.date.accessioned2020-01-09T22:06:41Z
dc.date.available2020-01-09T22:06:41Z
dc.date.issued2020-01-08
dc.description.abstractStroke severity and time to rehabilitation admission are important factors in influencing stroke rehabilitation outcomes. We aimed to determine the impact of: (1) stroke severity and timing to inpatient rehabilitation admission on length of stay, functional gains, and discharge destination; and (2) age and sex differences in time to rehabilitation, length of stay in rehabilitation, and discharge destination for stroke patients in Alberta. The first manuscript offers a discussion of post-positivist critical multiplism and its value for nursing research and describes the steps for conducting critical multiplist nursing research using stroke rehabilitation as an example. We identify that post-positivist critical multiplism offers a useful, rigorous approach that relies on a step-by-step method and a collaboration with a team of scholars who offer different perspectives, open questioning and critique, and rigorous attention to minimize biases throughout the research process. We examined a large retrospective cohort to address the research aims. In the second paper, we identified that length of time to rehabilitation admission was not significantly different between stroke severities. Individuals with moderate and severe stroke made significantly larger FIM gains than mild stroke during inpatient rehabilitation. LOS was longer with increasing stroke severity. Time to inpatient rehabilitation admission had small, but significant impacts on functional gains and LOS. Patients with shorter times to rehabilitation admission and those with mild stroke were more likely to be discharged home without needing health services. In the third paper, we identified that mean length of time from acute care admission to inpatient rehabilitation admission was not significantly different between males and females. There was no significant difference in mean FIM change between males and females during inpatient rehabilitation. Mean LOS in rehabilitation was slightly longer among females compared to males. Male patients and those of younger age were more likely than females and those of older age to be discharged home without needing homecare. In conclusion, stroke severity had a significant impact on the conduct of inpatient rehabilitation. The impact of timing on functional gains and LOS was small. Differences in LOS and discharge destination based on sex and age were significant.en_US
dc.identifier.citationTanlaka, E. F. (2020). The Impact of Severity, Timing, and Sex on Outcomes of Inpatient Stroke Rehabilitation (Doctoral thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/37427
dc.identifier.urihttp://hdl.handle.net/1880/111454
dc.language.isoengen_US
dc.publisher.facultyNursingen_US
dc.publisher.institutionUniversity of Calgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.en_US
dc.subjectCritical multiplismen_US
dc.subjectmethodologyen_US
dc.subjectnursingen_US
dc.subjectparadignmsen_US
dc.subjectphilosophyen_US
dc.subjectPostpositivismen_US
dc.subjectResearchen_US
dc.subjectScienceen_US
dc.subjectStrokeen_US
dc.subjectInpatient rehabilitationen_US
dc.subjectFunctional outcomesen_US
dc.subjectLength of time waitingen_US
dc.subjectLength of stayen_US
dc.subjectDischarge destinationen_US
dc.subjectStroke rehabilitationen_US
dc.subjectSex differencesen_US
dc.subject.classificationEducation--Sciencesen_US
dc.subject.classificationPhilosophyen_US
dc.subject.classificationNeuroscienceen_US
dc.subject.classificationHealth Sciencesen_US
dc.subject.classificationNursingen_US
dc.titleThe Impact of Severity, Timing, and Sex on Outcomes of Inpatient Stroke Rehabilitationen_US
dc.typedoctoral thesisen_US
thesis.degree.disciplineNursingen_US
thesis.degree.grantorUniversity of Calgaryen_US
thesis.degree.nameDoctor of Philosophy (PhD)en_US
ucalgary.item.requestcopytrueen_US
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