Rehabilitation for patients after stroke in a tertiary hospital: Is it early and intensive enough?

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: This study aimed to evaluate the provision of rehabilitation to and the functional recovery of stroke survivors receiving acute care in a tertiary hospital. Methods: Analyses of medical records of stroke patients who were admitted to a main teaching hospital between the years 2006-2009. Variables studied were the demographics, clinical profiles, rehabilitation profiles and the patients' functional recovery at discharge, as measured on a modified Rankin Scale (mRS). Findings: Records of 557 patients; mean age 64 years, 53.7% females were analysed. Mean length of stay was 6.8 days SD=5.8 during which, 62.7% received daily rehabilitation. Mean time from stroke diagnosis to rehabilitation was 3.0 days SD=2.0; 51.0% of cases were seen after 48 hours of hospital admission. Rehabilitation was provided mainly by physiotherapy services to 71.6%, 64.7% and 52.5% of severe, moderate and mild cases, respectively. Mean mRS was 3.5, SD=0.9 and 53.0% had not regained any level of walking ability prior to discharge. Age and severity level significantly predicted mRS at discharge (F6,536=12.26, P<0.001). Conclusions: Provision of rehabilitation to acute stroke survivors in a tertiary hospital was sub-optimal. Establishment of dedicated stroke rehabilitation services is recommended to enable better functional gain in post-stroke survivors.

Original languageEnglish
Pages (from-to)603-610
Number of pages8
JournalInternational Journal of Therapy and Rehabilitation
Volume19
Issue number11
Publication statusPublished - Nov 2012

Fingerprint

Tertiary Care Centers
Rehabilitation
Stroke
Survivors
Teaching Hospitals
Walking
Medical Records
Length of Stay
Demography

Keywords

  • Acute stroke
  • Discharge outcome
  • Modified rankin scale
  • Rehabilitation
  • Tertiary hospital

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

@article{dd68493ea0fa4d458179d84bcf9faffb,
title = "Rehabilitation for patients after stroke in a tertiary hospital: Is it early and intensive enough?",
abstract = "Background: This study aimed to evaluate the provision of rehabilitation to and the functional recovery of stroke survivors receiving acute care in a tertiary hospital. Methods: Analyses of medical records of stroke patients who were admitted to a main teaching hospital between the years 2006-2009. Variables studied were the demographics, clinical profiles, rehabilitation profiles and the patients' functional recovery at discharge, as measured on a modified Rankin Scale (mRS). Findings: Records of 557 patients; mean age 64 years, 53.7{\%} females were analysed. Mean length of stay was 6.8 days SD=5.8 during which, 62.7{\%} received daily rehabilitation. Mean time from stroke diagnosis to rehabilitation was 3.0 days SD=2.0; 51.0{\%} of cases were seen after 48 hours of hospital admission. Rehabilitation was provided mainly by physiotherapy services to 71.6{\%}, 64.7{\%} and 52.5{\%} of severe, moderate and mild cases, respectively. Mean mRS was 3.5, SD=0.9 and 53.0{\%} had not regained any level of walking ability prior to discharge. Age and severity level significantly predicted mRS at discharge (F6,536=12.26, P<0.001). Conclusions: Provision of rehabilitation to acute stroke survivors in a tertiary hospital was sub-optimal. Establishment of dedicated stroke rehabilitation services is recommended to enable better functional gain in post-stroke survivors.",
keywords = "Acute stroke, Discharge outcome, Modified rankin scale, Rehabilitation, Tertiary hospital",
author = "{Mohd Nordin}, {Nor Azlin} and {Abd Aziz}, Noorazah and Alkaff, {Sharifa Ezat} and Saperi Sulong and {Syed Junid}, {Syed Mohamed Al-Junid}",
year = "2012",
month = "11",
language = "English",
volume = "19",
pages = "603--610",
journal = "International Journal of Therapy and Rehabilitation",
issn = "1741-1645",
publisher = "Mark Allen Publishing Ltd.",
number = "11",

}

TY - JOUR

T1 - Rehabilitation for patients after stroke in a tertiary hospital

T2 - Is it early and intensive enough?

AU - Mohd Nordin, Nor Azlin

AU - Abd Aziz, Noorazah

AU - Alkaff, Sharifa Ezat

AU - Sulong, Saperi

AU - Syed Junid, Syed Mohamed Al-Junid

PY - 2012/11

Y1 - 2012/11

N2 - Background: This study aimed to evaluate the provision of rehabilitation to and the functional recovery of stroke survivors receiving acute care in a tertiary hospital. Methods: Analyses of medical records of stroke patients who were admitted to a main teaching hospital between the years 2006-2009. Variables studied were the demographics, clinical profiles, rehabilitation profiles and the patients' functional recovery at discharge, as measured on a modified Rankin Scale (mRS). Findings: Records of 557 patients; mean age 64 years, 53.7% females were analysed. Mean length of stay was 6.8 days SD=5.8 during which, 62.7% received daily rehabilitation. Mean time from stroke diagnosis to rehabilitation was 3.0 days SD=2.0; 51.0% of cases were seen after 48 hours of hospital admission. Rehabilitation was provided mainly by physiotherapy services to 71.6%, 64.7% and 52.5% of severe, moderate and mild cases, respectively. Mean mRS was 3.5, SD=0.9 and 53.0% had not regained any level of walking ability prior to discharge. Age and severity level significantly predicted mRS at discharge (F6,536=12.26, P<0.001). Conclusions: Provision of rehabilitation to acute stroke survivors in a tertiary hospital was sub-optimal. Establishment of dedicated stroke rehabilitation services is recommended to enable better functional gain in post-stroke survivors.

AB - Background: This study aimed to evaluate the provision of rehabilitation to and the functional recovery of stroke survivors receiving acute care in a tertiary hospital. Methods: Analyses of medical records of stroke patients who were admitted to a main teaching hospital between the years 2006-2009. Variables studied were the demographics, clinical profiles, rehabilitation profiles and the patients' functional recovery at discharge, as measured on a modified Rankin Scale (mRS). Findings: Records of 557 patients; mean age 64 years, 53.7% females were analysed. Mean length of stay was 6.8 days SD=5.8 during which, 62.7% received daily rehabilitation. Mean time from stroke diagnosis to rehabilitation was 3.0 days SD=2.0; 51.0% of cases were seen after 48 hours of hospital admission. Rehabilitation was provided mainly by physiotherapy services to 71.6%, 64.7% and 52.5% of severe, moderate and mild cases, respectively. Mean mRS was 3.5, SD=0.9 and 53.0% had not regained any level of walking ability prior to discharge. Age and severity level significantly predicted mRS at discharge (F6,536=12.26, P<0.001). Conclusions: Provision of rehabilitation to acute stroke survivors in a tertiary hospital was sub-optimal. Establishment of dedicated stroke rehabilitation services is recommended to enable better functional gain in post-stroke survivors.

KW - Acute stroke

KW - Discharge outcome

KW - Modified rankin scale

KW - Rehabilitation

KW - Tertiary hospital

UR - http://www.scopus.com/inward/record.url?scp=84869212903&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84869212903&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84869212903

VL - 19

SP - 603

EP - 610

JO - International Journal of Therapy and Rehabilitation

JF - International Journal of Therapy and Rehabilitation

SN - 1741-1645

IS - 11

ER -