The analysis of the current condition of convalescent rehabilitation for stroke patients - A study in one facility, including a sub-analysis of the elderly

Abstract

To investigate the clinical conditions of convalescent rehabilitation for stroke patients. We classified 147 stroke patients into 4 groups according to their discharge destination as follows: A, home; B, institution; C, geriatric health services facility; D, nursing home-type unit. A comparative examination was carried out for the following items: age, period from the onset to hospitalization (POH), NIHSS scores (NS), length of stay (LS), quantity of rehabilitation (QR), stroke types, FIM scores at admission and discharge (FS), and motor FIM gains (MFG) and efficiency scores (MFE). In addition, we performed a sub-analysis of 107 elderly patients (≥65) among the 147 total subjects. Group A was the youngest on average. The mean values of POH, NS, and LS increased in order from group A to group D. The average QR was the smallest in group A and the largest in group C. There was no marked difference in stroke types among the four groups. The FS revealed a gradual decline from group A to group D. The MFG in groups B and C was higher than in groups A and D. In the elderly patients, the MFG decreased in groups B and C, and a reduction of the MFE was demonstrated in group C. A relationship was noted between the ADL levels at admission and discharge. It was suggested that MFG and MFE were not predictive factors for the outcome and that elderly patients with a low ADL level tended to have a reduced effect of rehabilitation.