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Journal of Scientific Research and  Studies

Journal of Scientific Research and Studies Vol. 4(8), pp. 208-216, August, 2017

ISSN 2375-8791

Copyright © 2017

Author(s) retain the copyright of this article

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Full Length Research Paper

Inpatient rehabilitation outcomes in patients with stroke at Thailand’s largest tertiary referral center: A 5-year retrospective study

 

Patsaree Pattanasuwanna1 and Vilai Kuptniratsaikul2*


1Department of 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: vilai.kup@mahidol.ac.th, Tel: (+66) 2-419-7508, Fax: (+66) 2-411-4813.
 

Accepted 28 August, 2017

 

 Abstract

 

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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Vol. 4 Issue 8
 

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