Outcomes of Intermediate Phase Post-Stroke Inpatient Rehabilitation in Community Hospital
ผลลัพธ์ของการฟื้นฟูสมรรถภาพระยะกลางสำหรับผู้ป่วยโรคหลอดเลือดสมอง แบบผู้ป่วยในของโรงพยาบาลระดับชุมชน
Keywords:
Keywords: Intermediate care service, Outcome of rehabilitation, Inpatient rehabilitation, Community hospitalAbstract
Objectives: To study outcomes of intermediate care service including functional gain, effectiveness, efficiency and length of stay of stroke patients admitted for inpatient rehabilitation at a community hospital.
Study design: Retrospective study.
Setting: Luangphopern Hospital, Nakhonpathom province.
Subjects: Intermediate phase stroke patients admitted for inpatient rehabilitation during March 2016 – November 2018
Methods: Demographic data, Barthel Index (BI) at admission (BIA) and discharge (BID), length of stay (LOS) and complication were extracted from medical records.Functional gain (∆BI=BID –BIA), rehabilitation effectiveness (∆BI divided by difference of maximum BI and BID x 100%), and rehabilitation efficiency (∆BI divided by LOS) were calculated.
Results: Of 72 stroke patients, 72.2% were males, 59.7% had ischemic stroke, and mean age was 61.17 (SD 14.48) years. At discharge, the BI increased significantly (p<0.001) with mean functional gain of 6.56 (SD 4.48). Mean percentage of rehabilitation effectiveness was 56.62 (SD 33.15) and mean rehabilitation efficiency was 0.22 (SD 0.18). Average LOS was 35.65 days. Fifteen patients (20.1%) had at least one complication. The most common complication was urinary tract infection.
Conclusion: Intermediate phase post-stroke patients receiving inpatient rehabilitation at a community hospital had statistically significant improvement in functional score. Rehabilitation efficiency in this study was approximate to the previous multicenter study of inpatient stroke rehabilitation service in Thailand.
Keywords: Intermediate care, rehabilitation outcome, stroke, inpatients, community hospital
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