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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
- 17 - 24 (8page)
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초록· 키워드
오류제보하기
Background: Stroke is the number one cause of adulthood disability in Korea. Rehabilitation after stroke can minimize functional disability, enhance recovery toward independence, and optimize community reintegration. The inter-departmental stroke meeting (IDSM) is a potential method to improve rehabilitation outcomes in patients with stroke. We aimed to analyze the effect of IDSM on rehabilitation after acute ischemic stroke management. Methods: Medical records of 753 patients with acute ischemic stroke admitted to the neurology department of our medical center between January and December 2014 were reviewed retrospectively. In May 2014, weekly IDSMs were initiated. All physicians responsible for the patient's care reviewed patient treatment, methods of secondary prevention, and future rehabilitation plans. Results: The transfer rate significantly increased after initiation of IDSM (phase 2, 3) and the length of stay (LOS) before transfer to the rehabilitation department decreased significantly from 9.68 ± 8.50 days to 5.75 ± 2.12 days. There was a reduction in the total LOS from 52 ± 28.57 days to 35 ± 27.21 days after IDSMs were introduced. In non-transferred patients also, the total LOS reduced significantly. The transfer rate increased significantly and the LOS before transfer to the rehabilitation department decreased significantly after implementation of IDSM in a subgroup of patients with moderate to severe stroke. Conclusion: The introduction of IDSM was significantly correlated with improvements in transfer rates and reduction of LOS in hospital. This finding shows that IDSMs are an important intervention to improve therapeutic progress and outcomes for patients with stroke.
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등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Bates BE / 2013 / Factors influencing receipt of early rehabilitation after stroke / Arch Phys Med Rehabil 94(12):2349~2356
Eakin MN / 2015 / Implementing and sustaining an early rehabilitation program in a medical intensive care unit: a qualitative analysis / J Crit Care 30(4):698~704
Lynch EA / 2017 / Early mobilization after stroke: changes in clinical opinion despite an unchanging evidence base / J Stroke Cerebrovasc Dis 26(1):1~6
Poulos CJ / 2011 / Determining level of care appropriateness in the patient journey from acute care to rehabilitation / BMC Health Serv Res 11(1):291
Kim J / 2014 / Establishment of government-initiated comprehensive stroke centers for acute ischemic stroke management in South Korea / Stroke 45(8):2391~2396
Eakin MN / 2015 / Implementing and sustaining an early rehabilitation program in a medical intensive care unit: a qualitative analysis / J Crit Care 30(4):698~704
Lynch EA / 2017 / Early mobilization after stroke: changes in clinical opinion despite an unchanging evidence base / J Stroke Cerebrovasc Dis 26(1):1~6
Poulos CJ / 2011 / Determining level of care appropriateness in the patient journey from acute care to rehabilitation / BMC Health Serv Res 11(1):291
Kim J / 2014 / Establishment of government-initiated comprehensive stroke centers for acute ischemic stroke management in South Korea / Stroke 45(8):2391~2396
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