Difference between revisions of "STROKE-REHABILITATION EVIDENCE"
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Latest revision as of 11:07, 20 March 2023
SUMMARY
1. Subacute Stroke Rehab Units result in: 10 day reduction in inpatient stay, 1 in 27 patients treated will not need institutionalization, Increased functional outcomes with decrease in informal care costs[1].
2. Stroke units improve outcomes by: greater attention to stroke specific medical, nursing and therapy processes, greater involvement of caregivers, fewer stroke related complications, greater and earlier functional recovery.
3. Acute stroke care, characterized by intensive monitoring and treatment for medical complications, is associated with reductions in combined death/disability and the need for institutionalization, but not reductions in mortality, length of hospital stay, or functional disability[2].
4. Interdisciplinary combined acute and rehabilitation stroke units reduce combined death/dependency, need for institutionalization, and length of hospital stay, but not overall mortality, when compared to general medical wards[3].
5. Subgroups of patients will benefit from subacute rehabilitation in different ways: patients with more severe strokes experience reduced mortality; those with moderate strokes experience improved functional outcomes; and those with mild stroke do not improve to a greater extent compared with standard care[4].
6. 'Mobile stroke team' care did not have a major impact on clinically important outcomes[5].
7. Summary of Results: Effectiveness of Stroke Care (18 RCTs on mortality, death/dependency, 12 studies on institutionalization, 12 studies on LOS)[6]
Reference(s)
- ↑ Foley N, Salter K, Teasell R. Specialized stroke services: a meta-analysis comparing three models of care. Cerebrovascular Diseases 2007;23:194-202.
- ↑ Teasell, R., Hussein, N., Mirkowski, M., Vanderlaan, D., Saikaley, M., Longval, M. and Iruthayarajah, J., 2020. Brain Reorganization, Recovery and Organized Care. [online] Ebrsr.com. Available at: Handbook Chapter 4_Upper Extremity Post Stroke_ML.pdf Ebrsr.com [Accessed 11 November 2020].
- ↑ Teasell, R., Hussein, N., Mirkowski, M., Vanderlaan, D., Saikaley, M., Longval, M. and Iruthayarajah, J., 2020. Brain Reorganization, Recovery and Organized Care. [online] Ebrsr.com. Available at: Handbook Chapter 4_Upper Extremity Post Stroke_ML.pdf Ebrsr.com [Accessed 11 November 2020].
- ↑ Teasell, R., Hussein, N., Mirkowski, M., Vanderlaan, D., Saikaley, M., Longval, M. and Iruthayarajah, J., 2020. Brain Reorganization, Recovery and Organized Care. [online] Ebrsr.com. Available at: Handbook Chapter 4_Upper Extremity Post Stroke_ML.pdf Ebrsr.com [Accessed 11 November 2020].
- ↑ Teasell, R., Hussein, N., Mirkowski, M., Vanderlaan, D., Saikaley, M., Longval, M. and Iruthayarajah, J., 2020. Brain Reorganization, Recovery and Organized Care. [online] Ebrsr.com. Available at: Handbook Chapter 4_Upper Extremity Post Stroke_ML.pdf Ebrsr.com [Accessed 11 November 2020].
- ↑ Teasell, R., Hussein, N., Mirkowski, M., Vanderlaan, D., Saikaley, M., Longval, M. and Iruthayarajah, J., 2020. Brain Reorganization, Recovery and Organized Care. [online] Ebrsr.com. Available at: Handbook Chapter 4_Upper Extremity Post Stroke_ML.pdf Ebrsr.com [Accessed 11 November 2020].
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].
