Two Methodological Limitations
In their article, the authors determined the rates of medical rehabilitation after ischemic stroke after neurological treatment in hospital. The article was based on data from a quality assurance registry, in which 150 hospitals with specialized neurological wards nationwide participate on a voluntary basis. The participants in the rehabilitation measures were defined on the basis of subsequent neurological rehabilitation (phases B-D), geriatric, or other rehabilitation, even in cases where a brief stay in their familiar environment preceded the subsequent rehabilitation measure.
The way the rates of rehabilitation for ischemic stroke were calculated after treatment in a neurology hospital is, however, subject to two methodological limitations:
- On the one hand, it is not possible on the basis of the evaluated registry data to determine how often medical rehabilitation was actually undertaken subsequent to initiated rehabilitation measures.
- On the other hand, patients with subsequent rehabilitation in geriatric hospital wards were not included as these are not specifically documented in the registry data. This means that in individual federal states (for example, Thuringia), all cases with inpatient geriatric-rehabilitation were dismissed in determining rehabilitation rates after ischemic stroke.
Dr. PH Matthias Meinck
des GKV-Spitzenverbandes und der Gemeinschaft
der Medizinischen Dienste der Gesetzlichen Krankenversicherung
c/o MDK Nord, Hamburg
Conflict of interest statement
Dr Meinck has received honoraria for continuing medical educational events from the medical service of Germany’s National Association of Statutory Health Insurance Funds.
|1.||Unrath M, Kalic M, Berger K: Who receives rehabilitation after stroke? Data from the quality assurance project „Stroke Register Northwest Germany“. Dtsch Arztebl Int 2013; 110(7): 101–7 VOLLTEXT|