Stroke Outcomes

Who we treat

Each year, we provide inpatient treatment for 155 adults with strokes.

Injury types

• Left stroke: 35.7%
• Right stroke: 31.2%
• Bilateral stroke: 30.5%
• Other types of strokes: 2.6%

Patient ages

The average adult inpatient with a stroke at Shepherd Center is 50 years old. The age breakdown includes:

• 18-25: 5%
• 26-35: 9%
• 36-45: 17%
• 46-55: 30%
• 56-65: 28%
• 65+: 10%

Patient genders

• Male: 63%
• Female: 37%

Admission and length of stay

• Average length of stay: 47 days
• Time to admission: On average, adult patients begin inpatient rehabilitation 31 days after injury

Therapy and rehabilitation

Our patients receive extensive therapy, typically ranging from 3-5 hours daily. This includes physical, occupational, and speech therapy, tailored to each patient’s needs.

Patient satisfaction

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center a 97 out of 100.

Where our patients go after discharge

• Community: 91%
• Long-term care: 5%
• Acute care: 3%
• Hospice: 1%
• Unplanned transfers: 2.6% of patients have an unplanned transfer to an acute care facility.

Self-care goals

63% of adult patients achieve or exceed their anticipated value of self-care upon discharge from Shepherd Center, compared to 62% nationally.

Mobility goals

65% of adult patients achieve or exceed their anticipated value of mobility upon discharge from Shepherd Center, compared to 62% nationally.

Mobility scores tell us how much help a patient needs with activities like sitting, standing, walking, using a wheelchair, or going up and down stairs. A physical therapist helps patients get better at doing these activities on their own. If the scores go up from when the patient first came in to when they left, it means the patient got better at doing these activities independently.

Personal goals and progress

97% of adult patients reach or exceed their expected personal goals during their rehabilitation. Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:

• “I want to be able to cook a meal with my grandchildren.”
• “I can manage my household finances.”
• “I want to be able to feed myself.”

Who we treat

Each year, we provide outpatient treatment for 207 adults with strokes.

Injury types

• C1-C4: 32%
• C5: 12%
• C6: 9%
• C7: 8%
• T1-T6: 15%
• T7-S5: 27%

Patient ages

The average adult outpatient with a stroke at Shepherd Center is 52 years old. The age breakdown includes:

• 18-25: 7%
• 26-35: 8%
• 36-45: 17%
• 46-55: 33%
• 56-65: 20%
• 65+: 14%

Patient genders

• Male: 62%
• Female: 38%

Type of outpatient visits

• Day program: 89 visits
• Outpatient program: 33 visits

Patient satisfaction

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center a 98 out of 100.

Improvements in abilities, adjustments, and participation during rehabilitation

At Shepherd Center, we track significant improvements in your abilities, adjustments to your daily life, and participation in activities while under our care. These improvements are measured using the Mayo-Portland Adaptability Inventory, which evaluates challenges to community reintegration and social and physical environments. Assessments are made at admission and again at discharge. Lower score indicate greater integration.

Note: Research tells us that a 5-point charge or higher from admission to discharge on the total score is a meaningful improvement.

Ability

• Admission score: 50 (mild to moderate impairment)
• Discharge score: 41 (mild impairment)
• Improvement: Patients improved their ability score by an average of 9 points from admission to discharge

Adjustment

• Admission score: 43 (mild to moderate impairment)
• Discharge score: 37 (mild impairment)
• Improvement: Patients improved their adjustment score by an average of 6 points from admission to discharge

Participation

• Admission score: 49 (mild to moderate impairment)
• Discharge score: 45 (mild to moderate impairment)
• Improvement: Patients improved their participation score by an average of 4 points from admission to discharge

Overall progress (ability, adjustment, and participation)

• Admission score: 47 (mild to moderate impairment)
• Discharge score: 40 (mild impairment)
• Improvement: Patients improved their total scores by an average of 7 points from admission to discharge

Recommended supervision after discharge

Shepherd Center uses the Supervision Rating Scale (SRS) to measure the recommended level of supervision a patient receives from caregivers upon discharge. SRS percentages for adult outpatients with brain injuries include:

• Can be alone for 8+ hours: 29%
• Can be alone for up to 7 hours: 11%
• Other: 60%

The category of “other” represents varying supervision levels, such as:

• Patient can be left alone for up to 1 hour: Supervision is provided to the patient overnight & part-time during waking hours. Supervising caregiver cannot work a full-time job.
• Full-time indirect supervision: Patient is never left alone. Supervising person checks in 30 minutes or less.
• Full-time direct supervision: Patient is never left alone. Supervising person checks in more than every 30 minutes.
• Physical control of exits: Patient lives in a setting in which exits are physically controlled by others, plus a supervising person is designated to provide full-time line-of-sight supervision.
• Physical restraints: The patient is in physical restraints.

Personal goals and progress

68% of adult outpatients reach or exceed their expected personal goals during their outpatient experience. Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:

• “I want to be able to cook a meal with my grandchildren.”
• “I can manage my household finances.”
• “I want to be able to feed myself.”