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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Effectiveness of Stroke Rehabilitation Compared between Intensive and Nonintensive Rehabilitation Protocol: A Multicenter Study
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Effectiveness of Stroke Rehabilitation Compared between Intensive and Nonintensive Rehabilitation Protocol: A Multicenter Study

机译：密集康复协议与卒中康复的有效性：多中心研究

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Background and aim: Stroke is one of the leading causes of death, physical disability, and economic burden. Nowadays, various types of rehabilitation are available. Rehabilitation centers in Thailand provide services in different ways, including starting time, duration, and frequency of each therapy. In addition, many rehabilita-tion wards have a standing policy to reduce length of stay (LOS) due to economic considerations. This study aimed to compare the effectiveness and efficiency between intensive and nonintensive rehabilitation protocol for stroke patients. Methods: This prospective, multicenter cohort study was conducted among stroke patients who admitted to rehabilitation wards at 14 centers. All participants received either intensive or non-intensive rehabilitation program. Barthel Index (BI) at admission (BIad), BI at discharge (BIdc), and LOS were recorded. The effective-ness was difference in BIdc and BIad score (DBI), and the efficiency was DBI divided by LOS (DBI/LOS). Results: Seven hundred and eighty stroke patients were included. Mean age was 61.9 +/- 13.3 years, and 59.7% were male. The majority of patients (79.5%) were admitted for intensive rehabilitation. Effectiveness and effi-ciency were significantly higher in the intensive group than in the nonintensive group (4.5 +/- 3.4 versus 2.6 +/- 3.2 and .24 +/- .30 versus .18 +/- .33, respectively). LOS, intensive rehabilitation, and quality of life were significantly positively correlated with effectiveness; whereas, age, onset to admission interval (OAI), and BIad were significantly negatively correlated with the effectiveness of stroke rehabilitation. Conclusions: Stroke patients admitted for intensive rehabilitation had better effec-tiveness and efficiency than those admitted for non-intensive rehabilitation. Youn-ger patients with shorter OAI, lower BIad, and longer LOS realized significantly enhanced effectiveness.
机译：背景与目的：中风是导致死亡、身体残疾和经济负担的主要原因之一。如今，有各种类型的康复服务。泰国的康复中心以不同的方式提供服务，包括每次治疗的开始时间、持续时间和频率。此外，出于经济考虑，许多康复病房都有缩短住院时间（LOS）的长期政策。本研究旨在比较强化和非强化康复方案对脑卒中患者的有效性和效率。方法：这项前瞻性多中心队列研究在14个中心的康复病房收治的脑卒中患者中进行。所有参与者都接受了强化或非强化康复计划。记录入院时的Barthel指数（BIad）、出院时的BIdc和LOS。有效性在BIdc和BIad评分（DBI）上存在差异，效率是DBI除以服务水平（DBI/LOS）。结果：纳入780例脑卒中患者。平均年龄为61.9+/-13.3岁，59.7%为男性。大多数患者（79.5%）入院接受强化康复治疗。强化组的有效性和效率显著高于非强化组（分别为4.5+/-3.4对2.6+/-3.2和.24+/-30对.18+/-33）。LOS、强化康复和生活质量与疗效显著正相关；然而，年龄、发病至入院间隔（OAI）和BIad与中风康复的有效性显著负相关。结论：接受强化康复治疗的脑卒中患者比接受非强化康复治疗的患者有更好的疗效和效率。OAI较短、BIad较低和LOS较长的年轻ger患者的疗效显著提高。

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