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Characterization of patients treated by rehabilitation service after establishing of an acute stroke unit in a Brazilian hospital
[Purpose] The study aimed to characterize patients treated by rehabilitation section after establishment of an acute stroke unit. [Subjects and Methods] Medical consultation records of individuals with ischemic stroke were studied retrospectively, excluding individuals with hemorrhagic stroke, throm...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Society of Physical Therapy Science
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563308/ https://www.ncbi.nlm.nih.gov/pubmed/26355915 http://dx.doi.org/10.1589/jpts.27.2533 |
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author | Luvizutto, Gustavo José Gameiro, Mônica de Oliveira Orsi Schelp, Arthur Oscar Braga, Gabriel Pereira Ribeiro, Priscila Watson Bazan, Rodrigo |
author_facet | Luvizutto, Gustavo José Gameiro, Mônica de Oliveira Orsi Schelp, Arthur Oscar Braga, Gabriel Pereira Ribeiro, Priscila Watson Bazan, Rodrigo |
author_sort | Luvizutto, Gustavo José |
collection | PubMed |
description | [Purpose] The study aimed to characterize patients treated by rehabilitation section after establishment of an acute stroke unit. [Subjects and Methods] Medical consultation records of individuals with ischemic stroke were studied retrospectively, excluding individuals with hemorrhagic stroke, thrombolysis, previous Modified Rankin Scale ≥ 1, prior stroke, structural bone deformities, associated neurological disease, and prior cognitive deficit. The data evaluated were age, gender, etiology, localization, treatment received, ictus onset, hospitalization time, discharge date, and date of first evaluation at the rehabilitation center. The Modified Rankin Scale in 90 days after ictus was utilized to measure functional incapacity with the individuals divided into two groups, before and after acute stroke unit implementation (2010). Functional incapacity was compared between before and after acute stroke unit implementation by the Mann-Whitney test, χ(2) test and Fisher’s exact test. [Results] The medical records of 170 patients were evaluated. In the group evaluated after 2010, the patients were significantly older and presented a shorter time between hospitalization and discharge, shorter time until the first evaluation in rehabilitation, and increased percentage of mild incapacity (Modified Rankin Scale = 0 to 2). [Conclusion] After acute stroke unit implementation, the patients treated in the rehabilitation section presented a shorter hospitalization time and rehabilitation delay and less functional incapacity. |
format | Online Article Text |
id | pubmed-4563308 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Society of Physical Therapy Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-45633082015-09-09 Characterization of patients treated by rehabilitation service after establishing of an acute stroke unit in a Brazilian hospital Luvizutto, Gustavo José Gameiro, Mônica de Oliveira Orsi Schelp, Arthur Oscar Braga, Gabriel Pereira Ribeiro, Priscila Watson Bazan, Rodrigo J Phys Ther Sci Original Article [Purpose] The study aimed to characterize patients treated by rehabilitation section after establishment of an acute stroke unit. [Subjects and Methods] Medical consultation records of individuals with ischemic stroke were studied retrospectively, excluding individuals with hemorrhagic stroke, thrombolysis, previous Modified Rankin Scale ≥ 1, prior stroke, structural bone deformities, associated neurological disease, and prior cognitive deficit. The data evaluated were age, gender, etiology, localization, treatment received, ictus onset, hospitalization time, discharge date, and date of first evaluation at the rehabilitation center. The Modified Rankin Scale in 90 days after ictus was utilized to measure functional incapacity with the individuals divided into two groups, before and after acute stroke unit implementation (2010). Functional incapacity was compared between before and after acute stroke unit implementation by the Mann-Whitney test, χ(2) test and Fisher’s exact test. [Results] The medical records of 170 patients were evaluated. In the group evaluated after 2010, the patients were significantly older and presented a shorter time between hospitalization and discharge, shorter time until the first evaluation in rehabilitation, and increased percentage of mild incapacity (Modified Rankin Scale = 0 to 2). [Conclusion] After acute stroke unit implementation, the patients treated in the rehabilitation section presented a shorter hospitalization time and rehabilitation delay and less functional incapacity. The Society of Physical Therapy Science 2015-08-21 2015-08 /pmc/articles/PMC4563308/ /pubmed/26355915 http://dx.doi.org/10.1589/jpts.27.2533 Text en 2015©by the Society of Physical Therapy Science. Published by IPEC Inc. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. |
spellingShingle | Original Article Luvizutto, Gustavo José Gameiro, Mônica de Oliveira Orsi Schelp, Arthur Oscar Braga, Gabriel Pereira Ribeiro, Priscila Watson Bazan, Rodrigo Characterization of patients treated by rehabilitation service after establishing of an acute stroke unit in a Brazilian hospital |
title | Characterization of patients treated by rehabilitation service after
establishing of an acute stroke unit in a Brazilian hospital |
title_full | Characterization of patients treated by rehabilitation service after
establishing of an acute stroke unit in a Brazilian hospital |
title_fullStr | Characterization of patients treated by rehabilitation service after
establishing of an acute stroke unit in a Brazilian hospital |
title_full_unstemmed | Characterization of patients treated by rehabilitation service after
establishing of an acute stroke unit in a Brazilian hospital |
title_short | Characterization of patients treated by rehabilitation service after
establishing of an acute stroke unit in a Brazilian hospital |
title_sort | characterization of patients treated by rehabilitation service after
establishing of an acute stroke unit in a brazilian hospital |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563308/ https://www.ncbi.nlm.nih.gov/pubmed/26355915 http://dx.doi.org/10.1589/jpts.27.2533 |
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