J Korean Acad Rehabil Med Search

CLOSE


Journal of the Korean Academy of Rehabilitation Medicine 2009;33(6):675-681.
Effects of Critical Pathway on the Start of Rehabilitation in Stroke Patients of Single University Hospital.
Lim, Jong Youb , Kang, Eun Kyoung , Oh, Min Kyun , Han, Moon Ku , Kwon, O Ki , Oh, Chang Wan , Bae, Hee Joon , Paik, Nam Jong
1Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Korea. njpaik@snu.ac.kr
2Department of Neurology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Korea.
3Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Korea.
일개 대학병원의 뇌졸중 환자 재활치료 시작에 대한 주임상경로의 효과
임종엽, 강은경, 오민균, 한문구1, 권오기2, 오창완2, 배희준1, 백남종
서울대학교 의과대학 분당서울대학교병원 재활의학과, 1신경과, 2신경외과
Abstract
Objective
To evaluate the effects of rehabilitation-start critical pathway (Rehab-CP) based on modified Rankin scale (mRS) on stroke outcomes.
Method
We compared stroke outcome between before and after the carrying into effect of Rehab-CP by retrospective medical record review. First-onset stroke patients admitted to neurology department, and transferred to rehabilitation department were included in the analysis. Hospital length of stay (LOS), home discharge rate, functional outcome such as mRS, Brunnstrom stage, Korean version of modified Barthel index, Fugl-Meyer scale, mini-mental status examination, Berg Balance scale at discharge and 3 months after onset were analyzed.
Results
Thirty-nine patients before the commencement of Rehab-CP and 46 patients after the Rehab-CP were compared. Length of stay in neurology department were 2.5 days shorter in after Rehab-CP group as compared to before Rehab-CP group (p=0.056) and total LOS were 1.9 days shorter in after Rehab-CP group (p=0.485), although this did not reach statistical significant difference. There were no differences in home discharge rate, and other functional outcomes between two groups (p>0.05).
Conclusion
Rehabilitation-start CP based on mRS may decrease LOS without affecting functional outcome, and this result primarily comes from the shortening of stay in neurology department before transfer to rehabilitation ward. (J Korean Acad Rehab Med 2009; 33: 675-681)
Key Words: Stroke, Critical pathway, Rehabilitation, Transfer


ABOUT
ARTICLE TYPES

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Terms of Use   |   Privacy Polity
Editorial Office
Department of Rehabilitation Medicine, Seoul National University Hospital
101 Daehak-ro, Jongno-gu, Seoul, Korea
Tel: +82-10-8678-2671    Fax: +82-2-6072-5244    E-mail: edit@e-arm.org; edit.karm@gmail.com
Business Registration: 110-82-07460                

Copyright © 2024 by Korean Academy of Rehabilitation Medicine.

Developed in M2PI

Close layer