Scientific Research and Studies Vol. 4(8), pp. 208-216, August, 2017
Copyright © 2017
Author(s) retain the
copyright of this article
Full Length Research Paper
Inpatient rehabilitation outcomes
in patients with stroke at Thailand’s largest tertiary referral
center: A 5-year retrospective study
and Vilai Kuptniratsaikul2*
Rehabilitation Medicine, Nakhonpathom Hospital, Ministry of Public Health,
Nakhonpathom 73000, Thailand.
2Department of Rehabilitation Medicine, Faculty of Medicine Siriraj
Hospital, Mahidol University, Bangkok 10700, Thailand.
*Corresponding author. E-mail:
email@example.com, Tel: (+66)
2-419-7508, Fax: (+66) 2-411-4813.
Accepted 28 August, 2017
The objective of this retrospective study was to investigate
rehabilitation outcomes according to type of rehabilitation
program (intensive or non-intensive) in stroke patients admitted
for rehabilitation at Siriraj Hospital during 2010-2014.
Demographic data, Barthel Index (BI) at admission (BIad),
Barthel Index at discharge (BIdc), and length of stay
(LOS) of all stroke admitted during the study period were
recorded from chart review. Patients were categorized into the
intensive or non-intensive rehabilitation groups. Efficacy (∆BI)
was calculated as BIdc-BIad, and
effectiveness was calculated as ∆BI / (BImax-BIad)
* 100. Our subjects were 484 stroke patients with 569
rehabilitation admissions. Mean age was 64.5±13.0 years, and 53%
were male. Most (88%) patients were admitted for intensive
rehabilitation. Mean efficacy score was 3.7±3.5, and mean LOS
was 30.6±18.4 days. Median percentage of effectiveness was 27.0
(-800, 100). Mean efficacy score was 4.1±3.5 and 0.9±1.9; median
percentage of effectiveness was 33.3 (-800, 100) and 0 (-26.7,
31.3); and, mean LOS was 30.3±16.9 days and 32.6±27.2 days for
the intensive and non-intensive groups, respectively. Mean LOS
showed a decreasing trend from 2010 to 2014 (34.2 to 27.5 days).
Efficacy and effectiveness showed an increasing trend, except
for 2014. Our conclusions are that patients admitted for
intensive rehabilitation had higher efficacy score, higher
percentage of effectiveness, and shorter LOS than patients in
the non-intensive group. During the 2010-2014 study period, mean
LOS showed a decreasing trend, and efficacy and effectiveness
showed an increasing trend.
Key words: Stroke, inpatient rehabilitation outcomes,
efficacy, effectiveness, length of stay.
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