Use of Outpatient Rehabilitation Among Adult Stroke Survivors — 20 States and the District of Columbia, 2013, and Four States, 2015

• DOI: 10.15585/mmwr.mm6720a2
• Publication Date: 2018-05-24T14:10:27Z
• Authors: Carma Ayala; Jing Fang; Cecily Luncheon; Sallyann Coleman ...; Tiffany Chang; Matthew Ritchey; Fleetwood Loustalot
• Keywords: Stroke

Stroke is a leading cause of mortality and disability in the United States (1,2). Approximately 800,000 American adults experience stroke each year (2,3). Currently, approximately 6 million survivors live (2). Participation rehabilitation (rehab), which occurs diverse settings (i.e., in-hospital, postacute care, outpatient settings), has been determined to reduce recurrence improve functional outcomes quality life (3,4). Despite longstanding national guidelines recommending rehab, it remains underutilized, especially setting. Professional associations evidence-based support increasing rehab use health systems are promoted by public community (3-6). An analysis 2005 Behavioral Risk Factor Surveillance System (BRFSS) data revealed that 30.7% reported participation for after hospital discharge 21 states District Columbia (DC) (7). To update these estimates, 2013 2015 BRFSS were analyzed assess among adult survivors. Overall, was 31.2% (20 DC) 35.5% (four states) 2015. Disparities evident sex, race, Hispanic origin, level education. Focused attention on system-level interventions ensure needed, disparate populations with lower levels participation.