The correlation between functional level and the cost of stroke rehabilitation during hospitalization
10.3760/cma.j.cn421666-20240924-00785
- VernacularTitle:脑卒中患者住院康复期间的功能水平与康复支出的相关性及影响因素分析
- Author:
Qianqian SUN
1
;
Yulin SHI
;
Hua TANG
;
Rui LI
;
Suchen ZHAO
;
Luwen ZHANG
;
Yumeng FENG
;
Dengfeng WAN
;
Tiebin YAN
Author Information
1. 中山大学孙逸仙纪念医院康复医学科，广州 510120
- Publication Type:Journal Article
- Keywords:
Stroke;
International Classification of Functioning;
Disability and Health Rehabilitation Set;
Rehabilitation cost
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(4):325-330
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the significance of any correlation between the cost of the rehabilitation provided to stroke survivors during their hospitalization and the functional levels attained, and to analyze factors influencing that correlation.Methods:The International Classification of Functioning, Disability and Health Rehabilitation Set (ICF-RS) was used to evaluate the functioning of 304 stroke survivors on their days of hospital admission and discharge, as well as on their 10th day in hospital. The cost of their rehabilitation was computed, and demographic and clinical data were collected. A generalized estimation equation was used to analyze the changes in dysfunction with time and its risk factors. The relationship between functional levels and rehabilitation cost and its influencing factors were analyzed.Results:Length of stay, age≥60 and hemorrhagic stroke were significant risk factors for greater dysfunction among the stroke survivors. On the 10th day in hospital and the day before discharge (the 18th day), the frequency of severe dysfunction had decreased. The significant predictors of increased cost were severe or moderate dysfunction, the stage of stroke (sub-acute stage), and non-first rehabilitation.Conclusion:Functional level is a useful predictor of rehabilitation cost. It is influenced by the stage of stroke and non-first rehabilitation.
