The Need for Continuity of Care in Neurocritical Care and Recovery

Author:

Ader Jeremy,Agarwal Sachin,Naqvi Imama A.ORCID

Publisher

Springer Science and Business Media LLC

Subject

Neurology (clinical)

Reference73 articles.

1. Thompson LR, Ifejika NL. The transition from the hospital to an IRF setting for neurologic patients. Nurs Clin North Am. 2019;54(3):357–366. (In eng). https://doi.org/10.1016/j.cnur.2019.04.004.

2. Benjamin EJ, Muntner P, Alonso A, et al. Heart disease and stroke statistics-2019 update: a report from the American Heart Association. Circulation. 2019;139(10):e56–e528. (In eng). https://doi.org/10.1161/cir.0000000000000659.

3. Hall MJ, Levant S, DeFrances CJ. Hospitalization for stroke in US hospitals, 1989–2009: US Department of Health and Human Services, Centers for Disease Control and …, 2012.

4. • Woo D, Comeau ME, Venema SU, et al. Risk factors associated with mortality and neurologic disability after intracerebral hemorrhage in a racially and ethnically diverse cohort. JAMA Network Open. 2022;5(3):e221103–e221103. https://doi.org/10.1001/jamanetworkopen.2022.1103. This article offers an understanding of risk factors that contribute to neurologic disability and mortality in addition to traditional vascular risk factors after intracerebral hemorrhage in a large cohort study. Novel risk factors identified included older age, pre-ICH modified Rankin score, and presence of infection in addition to size and location of ICH. These additional characteristics can be utilized to identify patients at greater risk of neurological disability and mortality for targeted transitional care interventions.

5. • Ifejika NL, Vahidy FS, Reeves M, et al. Association between 2010 Medicare reform and IRF access in people with intracerebral hemorrhage. J Am Heart Assoc. 2021;10(16):e020528. (In eng). https://doi.org/10.1161/jaha.120.020528. Considering the impact of earlier neurological recovery for intracerebral hemorrhage compared to ischemic stroke is an important consideration in the neurocritical care continuum for rehabilitation goals. This article examines the impact of Centers for Medicare and Medicaid Services 2010 prospective payment system on discharges to inpatient rehabilitation facilities. They found fewer discharges to inpatient rehabilitation among patients with intracerebral hemorrhage. This suggests that health policy does affect access to intensive post-acute rehabilitations. In order to improve health care across the neurocritical care continuum, facilitating health policities must be instituted for sustainable impact.

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