J Korean Acad Rehabil Med.  2001 Apr;25(2):202-208.

The Effect of Complications of Stroke Patients on Prognosis during Rehabilitation Management

Affiliations
  • 1Department of Rehabilitation Medicine, University of Ulsan College of Medicine, Asan Medical Center

Abstract


OBJECTIVE
To investigate complications of stroke patients with regard to incidence, predisposing risk factors and their effect on the patients's prognosis during rehabilitation management. METHOD: Two hundred fifty nine patients with stroke admitted to Department of Rehabilitation Medicine were included in this study. We analyzed types of stroke, incidence of complications, outcome of rehabilitation treatment and the length of the hospital stay.
RESULTS
Of the 259 patients who had received rehabilitation, shoulder pain occurred in 59 patients (22.8%), depressions in 24 (9.3%), falls in 24 (9.3%) and pneumonia in 21 (8.1%); 112 patients (42.9%) had a total of 174 complications. The incidence of complication was higher in patients who had lower initial FIM score or previous cardiac disease. The patients with complication had longer rehabilitation hospital stay and lower FIM gain and efficacy.
CONCLUSION
Early detection and treatment of the complications of acute stroke patients during rehabilitation will shorten the length of the hospital stay and improve the overall prognosis of the patients.

Keyword

Stroke; Complication; Rehabilitation; Prognosis; Functional independence measure

MeSH Terms

Depression
Heart Diseases
Humans
Incidence
Length of Stay
Pneumonia
Prognosis*
Rehabilitation*
Risk Factors
Shoulder Pain
Stroke*
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