The effectiveness and cost-effectiveness of clinical rehabilitation for subacute cerebral infarction patients
10.3760/cma.j.issn.0254-1424.2017.08.004
- VernacularTitle:临床康复路径对亚急性期脑梗死患者功能恢复及医疗成本效益的影响
- Author:
Juanjuan FU
;
Nan XIA
;
Caili REN
;
Shouguo LIU
;
Wenchao YIN
;
Hongxing WANG
;
Jian'an LI
;
- Keywords:
Cerebral infarction;
Clinical rehabilitation;
Motor function;
Ability in the activities of daily living;
Stroke
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2017;39(8):577-581
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the effectiveness and medical cost-effectiveness of clinical rehabilitation for promoting the functional recovery of sub-acute cerebral infarction patients.Methods Totally 247 sub-acute patients with cerebral infarction were randomly divided into a clinical rehabilitation group of 129 and a routine rehabilitation group of 118.The clinical group received a standardized rehabilitation intervention and drug treatment,while the routine rehabilitation group received routine rehabilitation therapy and drug treatment.The Fugl-Meyer assessment (FMA) and the modified Barthel index (MBI) were used to compare the two groups after the treatment and 3 and 6 weeks later.The hospital cost for six weeks was also compared between the 2 groups.Results At 3 and 6 weeks,improvement in the average FMA and MBI scores was observed in both groups but the inter-group differences were not significant.The total hospital cost of the clinical group was,however,significantly less than that of the others.Conclusion Clinical rehabilitation can improve the motor function and ability in the activities of daily living of stroke patients.It also has economic benefits.
