{
  "abstract": "Background/objectives\n\nMaintenance hemodialysis (HD) is associated with poor outcomes after stroke, but its association with access to post-acute rehabilitation remains unclear. We examined rehabilitation transfer and outcomes according to maintenance HD status.Methods\n\nThis single-center retrospective cohort included consecutive stroke patients admitted to a tertiary emergency care center during 2015-2023. The primary outcome was rehabilitation transfer among in-hospital survivors. Rehabilitation eligibility and reasons for non-transfer were assessed in the HD group. Firth logistic regression evaluated rehabilitation transfer, and multivariable logistic regression evaluated in-hospital mortality and favorable functional outcome.Results\n\nAmong 1173 patients, 54 received maintenance HD. Rehabilitation transfer occurred in 2 of 33 HD survivors (6.1%) and 299 of 937 non-HD survivors (31.9%; risk ratio, 0.19; 95% confidence interval [CI], 0.05-0.62; p < 0.001). After adjustment using Firth logistic regression, maintenance HD remained associated with lower odds of rehabilitation transfer (adjusted odds ratio [aOR], 0.21; 95% CI, 0.04-0.65; p = 0.005). Of 12 rehabilitation-eligible HD patients, 2 (16.7%) were transferred; no facility providing both maintenance HD and inpatient rehabilitation could be secured for the other 10. Maintenance HD was associated with higher in-hospital mortality (aOR, 4.26; 95% CI, 2.20-8.24; p < 0.001) and lower odds of a favorable functional outcome (aOR, 0.38; 95% CI, 0.19-0.77; p = 0.007).Conclusions\n\nMaintenance HD was associated with markedly lower rehabilitation transfer and poorer acute outcomes. Expanding access to facilities integrating dialysis and rehabilitation may improve continuity and equity of post-stroke care.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Disaster and Emergency Medicine, Kochi University, Nankoku 783-8505, Japan.",
    "Department of Advanced Emergency and Critical Care Center, Nippon Medical School Hospital, Tokyo 113-8603, Japan."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Hidetaka Onda",
      "orcid": "0009-0005-8057-9351"
    },
    {
      "affs": [
        1
      ],
      "name": "Shoji Yokobori"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Masato Miyauchi"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/9nwyvh3z7ress.bib",
  "cited_by": 0,
  "doi": "10.3390/healthcare14193303",
  "fulltext_url": "https://europepmc.org/articles/PMC13665153",
  "id": "9nwyvh3z7ress",
  "issns": [
    "2227-9032"
  ],
  "landing_url": "https://europepmc.org/article/MED/42881742",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2742|Stroke Rehabilitation and Recovery"
    ]
  ],
  "openalex": "W7220465856",
  "pdf_url": "https://europepmc.org/articles/PMC13665153?pdf=render",
  "pmcid": "PMC13665153",
  "pmid": "42881742",
  "published": "2026-10-03",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/9nwyvh3z7ress.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:00Z",
      "native_id": "MED:42881742",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42881742"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2742|Stroke Rehabilitation and Recovery",
      "subfield": "general"
    }
  ],
  "title": "Association of Maintenance Hemodialysis with Transfer to Post-Acute Rehabilitation After Stroke: A Single-Center Retrospective Cohort Study.",
  "title_text": "Association of Maintenance Hemodialysis with Transfer to Post-Acute Rehabilitation After Stroke: A Single-Center Retrospective Cohort Study.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:00Z",
  "url": "https://research.draconitic.com/paper/9nwyvh3z7ress",
  "venue": "Healthcare (Basel, Switzerland)",
  "versions": []
}