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Rehabilitation Practice and Science

Translated Title

缺血性腦中風病人住院期間所接受的復健治療量與殘障和死亡風險之關係

Abstract

Background and Purpose: Most studies have demonstrated that rehabilitation program is able to improve functional recovery and reduce the risk of disability in patients with acute stroke. However, the relationship between the amount of the inpatient rehabilitation therapy and the risk of disability and mortality among patients with acute ischemic stroke is still unknown. The present study was undertaken to investigate the relationship between the amount of inpatient rehabilitation therapy and the risk of disability and mortality among patients with acute ischemic stroke, as well as to assess whether the association varies with respect to stroke severity Methods: We designed a retrospective study with a cohort of consecutive adult patients admitted in the Mackay Memorial Hospital, Taipei, for acute ischemic stroke between January 1, 2008 and June 30, 2009 (N=1277). The main outcome measures were the rate of disability (Barthel index less than 60) and the survival rate until December 31^(st), 2009. Results: During the median follow-up period of 12.3 months (ranging from January 1, 2008, to December 31, 2009), 163 deaths occurred. The greater amount of rehabilitation therapy was associated with a reduced risk of disability and mortality (p=0.005, for trend; p ＜0.001 for disability and mortality). Compared with the first tertile, the third tertile of rehabilitation volume was associated with a 34% lower risk of disability (hazard ration [HR]=0.66; 95% confidence interval [CI], 0.50-0.79) and a 55% lower risk of mortality (HR=0.45; 95% CI, 0.30-0.65). The association did not vary with respect to stroke severity (p=0.86, for interaction and p=0.45 for disability and mortality). Conclusions: Current results revealed that increasing the amount of rehabilitation therapy can reduce the risk of disability and mortality in acute ischemic stroke patients. Meanwhile, there exists dose-reaction relationship between the volume of rehabilitation therapy and the reduction of disability and mortality risk.

Language

Traditional Chinese

First Page

191

Last Page

198

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