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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...

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Autores principales: Luvizutto, Gustavo José, Gameiro, Mônica de Oliveira Orsi, Schelp, Arthur Oscar, Braga, Gabriel Pereira, Ribeiro, Priscila Watson, Bazan, Rodrigo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Society of Physical Therapy Science 2015
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.
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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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