Therapeutic efficacy and health economic evaluation of early rehabilitation intervention in stroke unit applied to patients with cerebral hemorrhage
10.3760/cma.j.issn.0254-9026.2009.11.009
- VernacularTitle:卒中单元超早期康复治疗对急性脑出血患者的疗效观察及治疗费用评价
- Author:
Zhimin WANG
;
Lei WANG
;
Chenghua XU
- Publication Type:Journal Article
- Keywords:
Cerebral hemorrhage;
Rehabilitation;
Health expenditures;
Disease management
- From:
Chinese Journal of Geriatrics
2009;28(11):908-911
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the therapeutic efficacy and evaluate the health economics of early rehabilitation intervention applied to patients with cerebral hemorrhage in stroke unit. Methods A total of 131 cerebral hemorrhage patients were randomly assigned to the stroke unit group (n=62) and the control group (n=69). The patients in the stroke unit group received rehabilitation training at a very early stage, while there were no rehabilitation training program and no professional treatment team for patients in the control group. Results of the national institute health stroke scale (NIHSS), activities of daily living (ADL) Barthel index were compared between the two groups. Infection rate, mortality, cost of hospitalization and length of stay were also compared. Results There were better therapeutic effects as revealed by NIHSS (4.3±3.5 vs. 7. 9±5.0, t=-3. 211, P<0.05), ADL Barthel index score (85.9±29.6 vs. 67.1±37.1, t=3.194, P<0.05), lower incidence of infection in lung (8.06% vs. 15.94%, χ~2 =3.901, P<0.05) and in urinary tract (6.45% vs. 11.59%, χ~2 =4. 138, P<0. 05), lower mortality (4.84% vs. 7.25%, χ~2=4. 351, P< 0.05), lower cost of hospitalization[￥ (17506. 90±954.10 ) vs. ￥(21096.49±923.46), t=-20. 786, P<0.01)] and shorter length of stay[(20. 47±7. 03)d vs. (31. 42±8.14)d, t=-8.196, P< 0.01)] in the stroke unit group compared to the control group. Conclusions Early rehabilitation intervention by stroke unit is advantageous to patients with cerebral hemorrhage.
