Now write this up as a protocol and distribute this to all 10 million yearly stroke survivors now and into the future. Just writing this article does nothing for survivors until you get it directly in their hands, not the therapists or doctors.
Your responsibility since we have fucking failures of stroke associations that can't even mange to do this simple thing for survivors. But then most stroke associations are not for survivors, they are to remove money from them and supposedly train doctors.
Effect of early intensive rehabilitation on the clinical outcomes of patients with acute stroke
Abstract
Aim
Intensive rehabilitation effectively improves physical functions in patients with acute stroke, but the frequency of intervention and its cost-effectiveness are poorly studied. This study aimed to examine the effect of early high-frequency rehabilitation intervention on inpatient outcomes and medical expenses of patients with stroke.
Methods
The study retrospectively included 1759 patients with acute stroke admitted to the Kobe City Medical Center General Hospital between 2013 and 2016. Patients with a transient ischemic attack, subarachnoid hemorrhage, and those who underwent urgent surgery were excluded. Patients were divided into two groups according to the frequency of rehabilitation intervention: the high-frequency intervention group (>2 times/day, n = 1105) and normal-frequency intervention group (<2 times/day, n = 654). A modified Rankin scale score ≤2 at discharge, immobility-related complications and medical expenses were compared between the groups.
Results
The high-frequency intervention group had a significantly shorter time to first rehabilitation (median [interquartile range], 19.0 h [13.1–38.4] vs. 24.7 h [16.1–49.4], P < 0.001) and time to first mobilization (23.3 h [8.7–47.2] vs. 22.8 h [5.7–62.3], P = 0.65) than the normal-frequency intervention group. Despite higher disease severity, the high-frequency intervention group exhibited favorable outcomes at discharge (modified Rankin scale, ≤2; adjusted odds ratio, 1.89; 95% confidence interval, 1.25–2.85; P = 0.002). No significant differences were observed between the two groups concerning the rate of immobility-related complications and total medical expenses during hospitalization.
Conclusions
High-frequency intervention was associated with improved outcomes and decreased medical expenses in patients with stroke. Our results may contribute to reducing medical expenses by increasing the efficiency of care delivery.
No comments:
Post a Comment