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Journal of the Korean Academy of Rehabilitation Medicine 2001;25(2):202-208.
The Effect of Complications of Stroke Patients on Prognosis during Rehabilitation Management.
Choi, Kyoung Hyo , Song, Woo Hyun , Chun, Chang Sik , Kim, Chul Joon , Ha, Sang Bae
Department of Rehabilitation Medicine, University of Ulsan College of Medicine, Asan Medical Center
뇌졸중 환자의 재활치료 기간 중 발생한 합병증이 예후에 미치는 영향
최경효, 송우현, 전창식, 김철준, 하상배
울산대학교 의과대학 서울중앙병원 재활의학과
Abstract

Objective
To investigate complications of stroke patients with regard to incidence, predisposing risk factors and their effect on the patients's prognosis during rehabilitation management.


Method
Two hundred fifty nine patients with stroke admitted to Department of Rehabilitation Medicine were included in this study. We analyzed types of stroke, incidence of complications, outcome of rehabilitation treatment and the length of the hospital stay.


Results
Of the 259 patients who had received rehabilitation, shoulder pain occurred in 59 patients (22.8%), depressions in 24 (9.3%), falls in 24 (9.3%) and pneumonia in 21 (8.1%); 112 patients (42.9%) had a total of 174 complications. The incidence of complication was higher in patients who had lower initial FIM score or previous cardiac disease. The patients with complication had longer rehabilitation hospital stay and lower FIM gain and efficacy.


Conclusion
Early detection and treatment of the complications of acute stroke patients during rehabilitation will shorten the length of the hospital stay and improve the overall prognosis of the patients.

Key Words: Stroke, Complication, Rehabilitation, Prognosis, Functional independence measure


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