Abstract
According to the statistical analysis, the incidence of stroke disease has gradually increased, particularly in recent years, which poses a huge threat to the safety of human life. Due to the advancement in science and technology specifically big data and sensors, a new research dome known as data mining technology has been introduced, which has the potential value from the perspective of large amount of data analysis. Information has become a new trend of science and technology, and data mining has been used in various application areas to analyze and predict strokes at home and abroad. In this study, big data technology is utilized to collect potential information and explores clinical pathways of level-3 rehabilitation in certain regions of China. Moreover, application effects of data mining in the rehabilitation of patients with the first ischemic stroke have been evaluated and reported. For this purpose, fifty (50) first-time ischemic stroke patients have been screened through big data and were nonartificially assigned to level-3 clinical pathway and conventional rehabilitation groups, respectively, specifically through software. The first group of patients enters the clinical path of the corresponding level according to the way of three-level referral. These patients were analyzed based on the collected results of completing the unified rehabilitation treatment plan of the three-level rehabilitation medical institution in the patient record form. The second group was selected according to the routine rehabilitation model and method of the medical institution where the patients visited were divided into four stages: before treatment, three weeks after treatment, nine weeks after treatment, and seventeen weeks after treatment. For this purpose, a simplified Fugl-Meyer analysis (FMA), recording of various functions of limb movement, and modified Barthel index (MBI) scale were used to analyze and evaluate the ability of daily activities and compare their effects. The final results showed that FMA and MBI scores of the two groups were improved in the three stages after treatment. The FMA and MBI scores of the clinical pathway group on 3rd and 9th weekends were significantly different from those of the conventional rehabilitation group (which is p < 0.05). Moreover, difference in FMA and MBI scores between the two at the 17th weekend was not significant. The total cost of the clinical pathway group, particularly at the ninth weekend, was higher than that of the conventional rehabilitation group, but the cost-benefit ratio was better and the incidence of complications was lower than that of the other group.
Highlights
Every year, approximately 17 million people throughout the world suffer from stroke where 5 million of those patients die and 5 million people have permanent dysfunction or disability, which places a serious burden on the society in general and affected families in particular [1]
A research report shows that only 15% of stroke patients who survived within 5 years did not undergo rehospitalization [5]
In September 1996, Singapore Changi General Hospital tried out the clinical pathway project and sent specialists to different hospitals in the United States to conduct training on clinical pathway theory, practice, and management. is was the first clinical pathway in Asia. is working group consisting of doctors, nurses, managers, and related medical staff will plan, implement, and evaluate the transplant clinical pathway management project to the local area
Summary
Approximately 17 million people throughout the world suffer from stroke where 5 million of those patients die and 5 million people have permanent dysfunction or disability, which places a serious burden on the society in general and affected families in particular [1]. In the UK, the economic loss of stroke is estimated to be 8 billion pounds each year, of which the direct treatment cost of the National Health Service is 3 billion pounds. After more than 30 years of practice and development, a relatively complete clinical pathway implementation and management system has been formed abroad. As far as the clinical pathway of stroke is concerned, foreign research is relatively diverse, according to the course of the disease and place of medical treatment. The place of medical treatment can be divided into emergency ward stroke clinical pathway, stroke unit clinical pathway, rehabilitation ward clinical pathway, community hospital stroke clinical pathway, and other categories to carry out research [8]. Developed in terms of maturity of the country, the development of clinical pathways in our country has just started and is still in the trial stage
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