Improved is NOT GOOD ENOUGH. The goal is 100% recovery. What followup research will be done to get there?
Walking ability and functional status after post-acute care for stroke rehabilitation in different age groups: a prospective study based on propensity score matching
Abstract
Few
studies have compared how rehabilitative post-acute care affects
recovery of walking ability and other functions after stroke in
different age groups. After propensity score matching (1:1), 316 stroke
patients were separated into an aged group (age ≥65 years, n=158) and a
non-aged group (age <65 years, n=158). Both groups significantly
improved in Barthel index, EuroQol-5 dimension, Berg balance scale,
6-minute walking distance and 5-meter walking speed (P<0.001). The
non-aged group had significantly larger improvements in Berg balance
scale, instrumental activities of daily living, EuroQol-5 dimension and
6-minute walking distance (P<0.001) compared to the aged group. The
two groups did not significantly differ in Barthel index, 5-meter
walking speed, length of stay, and cost. The aged group had poorer
walking ability and poorer instrumental activities of daily living
compared to the non-aged group. After intensive rehabilitative
post-acute care, however, the aged group improved in walking ability,
functional performance and mental health. Intensive strength training
for unaffected lower limbs in the stroke patients achieved good recovery
of walking ability and other functions. Overall, intensive
rehabilitative post-acute care improved self-care ability and decreased
informal care costs. Rehabilitative PAC under per-diem reimbursement is
efficient and economical for stroke patients in an aging society.
No comments:
Post a Comment