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JAMA Clinical Guidelines Synopsis
February 27, 2018

Guidelines for Adult Stroke Rehabilitation and Recovery

Author Affiliations
  • 1Schwab Rehabilitation Hospital, Chicago, Illinois
  • 2University of Chicago, Chicago, Illinois
JAMA. 2018;319(8):820-821. doi:10.1001/jama.2017.22036

Stroke affects more than 800 000 people each year in the United States. Between 2000 and 2010, stroke-related deaths declined by 35% in the United States, and 80% survive the acute event.1 There is wide diversity in stroke patients and stroke severity,2 but of those admitted to a hospital, about 65% of survivors receive rehabilitation services, and more than 30% have persistent deficits in autonomy, engagement, and fulfilling societal roles.3 Clinicians should be familiar with the levels of care of poststroke rehabilitation and services, which include the acute hospital stay and postacute continuum of care, with care delivery sites differentiated by intensity of care, location of care, and needs for skilled nursing. The AHA/ASA guideline weaves evidence and consensus to guide stroke rehabilitation management throughout the spectrum of care and promote return of patients to their communities.4