Rehabilitation Characteristics in High-Performance Hospitals after Acute Stroke
| Autor: | Akira Sawaguchi, Masahiro Abo, Masashi Sawabe, Seiji Kasuga, Narimi Miyauchi, Ryo Momosaki, Daichi Asanuma, Kiyotaka Hasebe, Shoya Suzuki |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Activities of daily living medicine.medical_treatment Pay for performance Speech therapy 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Stroke Acute stroke Quality of Health Care Retrospective Studies Rehabilitation business.industry Stroke Rehabilitation Independent measure Retrospective cohort study Length of Stay medicine.disease Hospitals Emergency medicine Surgery Neurology (clinical) Cardiology and Cardiovascular Medicine business 030217 neurology & neurosurgery |
| Zdroj: | Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. 27(9) |
| ISSN: | 1532-8511 |
| Popis: | Background Rehabilitation characteristics in high-performance hospitals after acute stroke are not clarified. This retrospective observational study aimed to clarify the characteristics of high-performance hospitals in acute stroke rehabilitation. Methods Patients with stroke discharged from participating acute hospitals were extracted from the Japan Rehabilitation Database for the period 2006-2015. We found 6855 patients from 14 acute hospitals who were eligible for analysis in this study after applying exclusion criteria. We divided facilities into high-performance hospitals and low-performance hospitals using the median of the Functional Independent Measure efficiency for each hospital. We compared rehabilitation characteristics between high- and low-performance hospitals. Results High-performance hospitals had significantly shorter length of stay. More patients were discharged to home in the high-performance hospitals compared with low-performance hospitals. Patients in high-performance hospitals received greater amounts of physical, occupational, and speech therapy. Patients in high-performance hospitals engaged in more self-exercise, weekend exercise, and exercise in wards. There was more participation of board-certified physiatrists and social workers in high-performance hospitals. Conclusions Our data suggested that amount, timing, and type of rehabilitation, and participation of multidisciplinary staff are essential for high performance in acute stroke rehabilitation. |
| Databáze: | OpenAIRE |
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