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The Effect of Inter-Departmental Stroke Meetings on Rehabilitation in a Comprehensive Cerebrovascular Center
- Source :
- Journal of Korean Medical Science
- Publication Year :
- 2018
- Publisher :
- Korean Academy of Medical Sciences, 2018.
-
Abstract
- Background Stroke is the number one cause of adulthood disability in Korea. Rehabilitation after stroke can minimize functional disability, enhance recovery toward independence, and optimize community reintegration. The inter-departmental stroke meeting (IDSM) is a potential method to improve rehabilitation outcomes in patients with stroke. We aimed to analyze the effect of IDSM on rehabilitation after acute ischemic stroke management. Methods Medical records of 753 patients with acute ischemic stroke admitted to the neurology department of our medical center between January and December 2014 were reviewed retrospectively. In May 2014, weekly IDSMs were initiated. All physicians responsible for the patient's care reviewed patient treatment, methods of secondary prevention, and future rehabilitation plans. Results The transfer rate significantly increased after initiation of IDSM (phase 2, 3) and the length of stay (LOS) before transfer to the rehabilitation department decreased significantly from 9.68 ± 8.50 days to 5.75 ± 2.12 days. There was a reduction in the total LOS from 52 ± 28.57 days to 35 ± 27.21 days after IDSMs were introduced. In non-transferred patients also, the total LOS reduced significantly. The transfer rate increased significantly and the LOS before transfer to the rehabilitation department decreased significantly after implementation of IDSM in a subgroup of patients with moderate to severe stroke. Conclusion The introduction of IDSM was significantly correlated with improvements in transfer rates and reduction of LOS in hospital. This finding shows that IDSMs are an important intervention to improve therapeutic progress and outcomes for patients with stroke.<br />Graphical Abstract
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Rehabilitation Centers
Severity of Illness Index
Tertiary Care Centers
03 medical and health sciences
0302 clinical medicine
Severity of illness
medicine
Humans
In patient
030212 general & internal medicine
Stroke
Rehabilitation department
Aged
Retrospective Studies
Aged, 80 and over
Secondary prevention
Rehabilitation
business.industry
Communication
Medical record
Stroke Rehabilitation
Retrospective cohort study
General Medicine
Length of Stay
Middle Aged
medicine.disease
Rehabilitation & Sports Medicine
Treatment Outcome
Cerebrovascular Disease
Emergency medicine
Original Article
Female
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15986357 and 10118934
- Volume :
- 33
- Database :
- OpenAIRE
- Journal :
- Journal of Korean Medical Science
- Accession number :
- edsair.doi.dedup.....d0da57b6fd9e581800950c22b4d48790