지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 528 - 535 (8page)
이용수
초록· 키워드
오류제보하기
Objective To investigate the post-stroke rehabilitation status according to stroke severity using the database of the Korean Health Insurance Review and Assessment Service. Methods The data of patients admitted to the neurology departments of 12 hospitals within 7 days of onset of ischemic stroke were collected. A total of 2,895 patients hospitalized between November 2010 and December 2011 were included. The patients were classified into three groups according to their initial National Institutes of Health Stroke Scale (NIHSS) scores (mild, ≤5; moderate, >5 and ≤13; and severe, >13). Length of hospital stay (LoS) with rehabilitation, NIHSS score after acute care, and scores on modified Rankin Scale (mRS) were examined at 1 year post-stroke according to stroke severity and ongoing rehabilitation. Results The total LoS for ongoing rehabilitation significantly increased with stroke severity (mild, 91.66±149.70; moderate, 197.26±241.93; severe, 263.50±275.75 days; p<0.01). However, the proportion of LoS with ongoing rehabilitation to the total LoS tended to decline with increasing stroke severity (mild, 77.93±29.50, p<0.01; moderate, 71.83±32.13; severe, 62.29±37.19). The home discharge rate of the group that underwent continuous inpatient rehabilitation was significantly higher in patients with moderate and severe stroke, respectively (14.2% vs. 0.0%, p<0.001; 7.4% vs. 0.0%, p=0.032). Conclusion This study showed that intermittent rehabilitation was often provided after acute care, whereas ongoing rehabilitation positively affected rate of home discharge in patients with moderate and severe stroke in Korea. These results represent evidence for improving the healthcare system to promote adequate rehabilitation in the future.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Langhorne P / 2009 / Evidence-based practice for stroke / Lancet Neurol 8:308~309
Stroke Unit Trialists' Collaboration / 2013 / Organised inpatient (stroke unit) care for stroke / Cochrane Database Syst Rev 9
Albert SJ / 2012 / Neurorehabilitation of stroke / J Neurol 259:817~832
Ottenbacher KJ / 1993 / The results of clinical trials in stroke rehabilitation research / Arch Neurol 50:37~44
Cifu DX / 1999 / Factors affecting functional outcome after stroke: a critical review of rehabilitation interventions / Arch Phys Med Rehabil 80(5 Suppl 1):S35~S39
Stroke Unit Trialists' Collaboration / 2013 / Organised inpatient (stroke unit) care for stroke / Cochrane Database Syst Rev 9
Albert SJ / 2012 / Neurorehabilitation of stroke / J Neurol 259:817~832
Ottenbacher KJ / 1993 / The results of clinical trials in stroke rehabilitation research / Arch Neurol 50:37~44
Cifu DX / 1999 / Factors affecting functional outcome after stroke: a critical review of rehabilitation interventions / Arch Phys Med Rehabil 80(5 Suppl 1):S35~S39
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