Clinical Profile of the Stroke Recovering Patients in the Acute Rehabilitation Setting in Peshawar

Abstract

All stroke patients across the stroke spectrum frequently experience functional deficits of varying degrees. Despite the idea of post-stroke functional advancement, there is a lack of information regarding post-acute stroke recovery. Objective: To track the progress of acute stroke patients admitted to acute stroke rehabilitation centers in terms of functional recovery. Methods: A cohort study was designed and extracted the data of ninety-five (N=95) acute stroke patients admitted to the center for the acute rehabilitation program (ARP). Ninety-five (N=95) post-stroke patients with the mRS 3-4 (Modified ranking scale) admitted to the centers were enrolled for this retrospective cohort study. All enrolled patients for the study went through functional, neurophysiological and quality of life assessment/evaluation was taken at the time of admission to the center and before the discharge from the center. The score at the discharge were the functional outcomes and were used to compare them with the score taken at the time of admission (baseline score). Results: The results of the retrospective cohort showed that the average length of stay was 56.40 days. After the intervention of the intensive ARP significant improvement were observed in all test score. The removal rate for foley catheter (p=0.003), Nasogastric tubes (p=0.00) was found for all patients at the time of discharge. Conclusions: The study's findings demonstrated that ARP can help acute stroke patients who have functional deficits improve their functional status. To find more efficient forms of intervention in the acute-stroke rehabilitation, this study advises future research