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In Australia, stroke is a leading cause of mortality and morbidity, affecting one in six adults each year [1, 2].
For the purposes of this study, all four hospitals will be referred to as rural.
This study received ethical approval from the region’s NSW Health Human Research Ethics Committee and this provided access to data from the health services’ hospital and allied health databases.
The allied health database provided data specific to OT and PT service delivery.
All therapists were required to submit day-to-day data which included the number of sessions provided (frequency), the time spent in each session (duration), and whether a session was direct (face-to-face) or indirect.
This study will test this assumption in patients admitted who are less than 10 days after stroke and compare the OT and PT service delivery in one metropolitan hospital to the OT and PT in four rural hospitals.
Stroke Case Study Occupational Therapy
This retrospective case-control study analysed OT and PT service delivery data in acute stroke across five participating hospitals.
All participating hospitals were located in the same Local Health District in New South Wales, Australia.
The metropolitan hospital was the reference (control) against which data from the four hospitals were combined and used as a single comparator (case) (Table 1).
Because some hospitals require that a medical referral be forwarded to therapists, this study also investigated whether or not the patient was seen within 24 hours of being referred. Descriptive statistics described the frequency of sessions, duration of session, and the type of session (direct or indirect).
A t-test with values set at 0.001 was used to test for differences between what occurred in the metropolitan hospital and what occurred in the rural hospitals.