Effects of Critical Pathway on the Start of Rehabilitation in Stroke Patients of Single University Hospital.
- Author:
Jong Youb LIM
1
;
Eun Kyoung KANG
;
Min Kyun OH
;
Moon Ku HAN
;
O Ki KWON
;
Chang Wan OH
;
Hee Joon BAE
;
Nam Jong PAIK
Author Information
1. Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Korea. njpaik@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Stroke;
Critical pathway;
Rehabilitation;
Transfer
- MeSH:
Critical Pathways;
Humans;
Length of Stay;
Lifting;
Medical Records;
Neurology;
Retrospective Studies;
Stroke
- From:Journal of the Korean Academy of Rehabilitation Medicine
2009;33(6):675-681
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To evaluate the effects of rehabilitation-start critical pathway (Rehab-CP) based on modified Rankin scale (mRS) on stroke outcomes. METHOD: We compared stroke outcome between before and after the carrying into effect of Rehab-CP by retrospective medical record review. First-onset stroke patients admitted to neurology department, and transferred to rehabilitation department were included in the analysis. Hospital length of stay (LOS), home discharge rate, functional outcome such as mRS, Brunnstrom stage, Korean version of modified Barthel index, Fugl-Meyer scale, mini-mental status examination, Berg Balance scale at discharge and 3 months after onset were analyzed. RESULTS: Thirty-nine patients before the commencement of Rehab-CP and 46 patients after the Rehab-CP were compared. Length of stay in neurology department were 2.5 days shorter in after Rehab-CP group as compared to before Rehab-CP group (p=0.056) and total LOS were 1.9 days shorter in after Rehab-CP group (p=0.485), although this did not reach statistical significant difference. There were no differences in home discharge rate, and other functional outcomes between two groups (p>0.05). CONCLUSION: Rehabilitation-start CP based on mRS may decrease LOS without affecting functional outcome, and this result primarily comes from the shortening of stay in neurology department before transfer to rehabilitation ward.
