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2019, Number 1-2

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Rev Mex Med Fis Rehab 2019; 31 (1-2)

Impact of an intensive hospital rehabilitation program in patients with cerebral vascular disease in ABC Medical Center

de Regil GP

Language: Spanish
References: 19
Page: 13-16
PDF size: 121.93 Kb.


ABSTRACT

Introduction: It is well known that the main objective of rehabilitation after cerebral vascular disease is to recover independence in daily activities and maximize participation in the community. Canadian guidelines recommend hospital rehabilitation after a moderate cerebral vascular event, however, it is important to determine the objectives to achieve a real benefit, because an inadequate decision may have impact on the functional level and quality of life. Material and methods: Retrospective cohort study of a group of 31 patients who suffered a cerebral vascular event between January 2016 and December 2018 at ABC Medical Center Santa Fe Facility. We analyzed age, gender, clinical classification, average in-hospital stay, FIM in admission and discharge, change of FIM. Results: We compared the difference of FIM in admission vs at discharge of the program, finding a statistically significant difference [2.62 (0.43-5.95) vs 4.1 (1.05-6.67; p ‹ 0.001)] after receiving an intensive hospital rehabilitation program. Conclusions: In this cohort, patients receiving an intensive rehabilitation program have a statistically significant change in the functional scale.


REFERENCES

  1. Rehabilitación de adultos con enfermedad vascular cerebral. México: Secretaría de Salud; 2009. Disponible en: http://www.cenetec.salud.gob.mx/

  2. Bogousslavsky J, Van Melle G, Regli F. The Lausanne Stroke Registry: analysis of 1,000 consecutive patients with first stroke. Stroke. 1988; 19: 1083-1092.

  3. Jorgensen HS, Nakayama H, Raaschou HO, Vive-Larsen J, Støier M, Olsen TS. Outcome and time course of recovery in stroke. Time course of recovery. The Copenhagen Stroke Study. Arch Phys Med Rehabil. 1995; 76: 406-412.

  4. Kreisel S, Hennerici MG, Bäzner H. Pathophysiology of stroke rehabilitation: the natural course of clinical recovery, use-dependent plasticity and rehabilitative outcome. Cerebrovasc D. 2007; 23: 243-255.

  5. National Stroke Foundation. Clinical guidelines for stroke management. Melbourne: Australia; 2010.

  6. Hakkennes J, Brock K, Hill KD. Selection for inpatient rehabilitation after acute stroke: a systematic review of the literature. Arch Phys Med Rehabil. 2011; 92 (12): 2057-2070. doi: 10.1016/j.apmr.2011.07.189.

  7. Blennerhassett J, Levy CE, Mackintosh A, Yong A, McGinley J. One quarter of people leave inpatient stroke rehabilitation with physical capacity for community ambulation. J Stroke Cerebrovasc Dis. 2018; 27 (12): 3404-3410.

  8. Ping B. Stratification of stroke rehabilitation: Five-year profiles of functional outcomes. Hong Kong Physiother J. 2018; 38 (2): 141-147.

  9. Luker J, Murray C, Lynch E, Bernhardsson S, Shannon M, Bernhardt J. Carers, experiences, needs, and preferences during inpatient stroke rehabilitation: a systematic review of qualitative studies. Arch Phys Med Rehabil. 2017; 98: 1852-1862.

  10. Devesa I, Mazadiego G, Baldomero H, Mancera C. Rehabilitación del paciente con enfermedad vascular cerebral (EVC). Rev Mex Med Fis Rehab. 2014; 26 (3-4): 94-108.

  11. Brown AW, Therneau T, Schultz B, Niewczyk P, Grangeret C. Measure of functional independence dominates discharge outcome prediction after inpatient rehabilitation for stroke. Stroke. 2015; 46: 1038-1044. doi: 10.1161/STROKEAHA.114.007392.

  12. Hajime Y, Miyai I, Seike Y, Suzuki T, Yanagihara T. Benefit of inpatient multidisciplinary rehabilitation up to 1 year after stroke. Arch Phys Med Rehabil. 2003; 84: 1687-1691. doi: 10.1053/S0003-9993(03)00286-7.

  13. Bernhardt J, Churilov L, Ellery F, Collier J, Chamberlain J, Langhorne P et al. Prespecified dose-response analysis for a very early rehabilitation trial (AVERT). Neurology. 2016; 86: 2138-2145.

  14. Dorsch S, Weeks K, King L, Polman E. Semi-supervised practice in inpatient rehabilitation. J Physiother. 2019; 65: 23-27.

  15. Paolucci S, Antonucci G, Grasso MG, Morelli D, Troisi E, Coiro P et al. Early versus delayed inpatient stroke rehabilitation: a matched comparison conducted in Italy. Arch Phys Med Rehabil. 2000; 81: 695-700.

  16. Teasell R, Meyer MJ, McClure A, Pan C, Murie-Fernandez M, Foley N et al. Stroke rehabilitation: an international perspective. Top Stroke Rehabil. 2009; 16 (1): 44-56. doi: 10.1310/tsr1601-44.

  17. Rossi PW, Forer S, Wiechers D. Effective rehabilitation for patients with stroke: analysis of entry, functional gain, and discharge to community. J Neuro Rehabil. 1997; 11: 27-33.

  18. Wang H, Camicia M, Terdiman J, Hung YY, Sandel ME. Time to inpatient rehabilitation hospital admission and functional outcomes of stroke patients. PMR. 2011; 3 (4): 296-304.

  19. Wang H, Camicia M, Terdiman J, Mannava MK, Sidney S, Sandel ME. Daily treatment time and functional gains of stroke patients during inpatient rehabilitation. PMR. 2013; 5 (2): 122-128.




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