[Physio- and occupational therapy pathways of stroke patients and stroke mortality].

AIMS

This study examines the relationship between adherence to clinical guidelines and survival time in the first year after stroke.

METHODS

The sample comprises all clients of the Deutsche BKK, a large German health insurance company, who received acute inpatient care for stroke in 2007, who survived the hospital stay by at least 14 days, and who had motor deficits at the end of their acute treatment (n=1 791). 3 types of treatment that differ in the degree of adherence to clinical guidelines are identified ("Frühreha-Plus">"Standard-Plus">"Nur Akut").

RESULTS

There is a positive relationship between adherence to clinical guidelines and survival time, even when relevant covariates are controlled. The hazard-ratios are 0.49 for "Frühreha-Plus" and 0.65 for "Standard-Plus" compared to "Nur Akut".

CONCLUSIONS

Healthcare processes should be organized on the basis of cross-sector collaboration and in line with the recommendations of the guidelines.