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KMID : 1143420230160411371
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Public Health Weekly Report
2023 Volume.16 No. 41 p.1371 ~ p.1389
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Effects of Intensive Rehabilitation in the Acute Hospital in Patients with Severe Stroke: The Korean Stroke Cohort for Functioning and Rehabilitation Study
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Kim Dae-Hyun
Kim Deog-Young
Lee Jong-Min
Sohn Min-Kyun
Song Min-Keun
Shin Yong-Il
Lee Yang-Soo
Joo Min-Cheol
Lee So-Young
Ahn Jeong-Hoon
Oh Gyung-Jae
Lee Young-Hoon
Han Jun-Hee
Lee Ho-Seok
Kim Yun-Hee
Chang Won-Hyuk
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Abstract
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The aim was to investigate the effects of intensive inpatient rehabilitation during the subacute phase to improve functional recovery at 3 months after stroke onset in patients with severe stroke. This study presents the retrospective analysis of the Korean Stroke Cohort for Functioning and Rehabilitation. The stroke patients who were not discharged home were defined as severe stroke patients requiring additional inpatient care. Among the severe stroke patients, those who were transferred to the rehabilitation unit of the same hospital were defined as the intra-hospital transfer group; those who were transferred to the rehabilitation units of other hospitals or rehabilitation specialty hospitals were defined as the inter-hospital transfer group; and those who were transferred to nursing hospitals, oriental hospitals, or nursing homes were defined as the non-intensive rehabilitation group. Multifaceted face-to-face functional assessments, including the National Institutes of Health Stroke Scale (NIHSS) and the Korean Modified Barthel Index (K-MBI), obtained from baseline to 3 months after stroke onset. Multifactorial functional assessments were compared among the three groups by ANOVA with post hoc analysis. In terms of the change from baseline to 3 months, a significant improvement decrease in NIHSS and K-MBI was observed in the intra-hospital transfer group, followed by the inter-hospital transfer group, then the non-intensive rehabilitation group, respectively (p<0.05). This study demonstrated that intensive inpatient rehabilitation in the same hospital during the subacute phase could significantly improve functional outcome at 3 months after stroke onset in patients with severe stroke.
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KEYWORD
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Stroke, Rehabilitation, Transfer, Activities of daily living, Cohort
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