Chulalongkorn Medical Journal


Objective : To determine functional outcome as well as correlations between functionalstatus at admission and length of hospital stay (LOHS) of stroke patientswho completely attended rehabilitation program at Thai Red CrossRehabilitation Center from year 2006 to 2008.Method : Reviewed medical record of stroke patients admitted during August 1, 2006to December 31, 2008. LOHS, location after discharge and functional statusas the following; modified Barthel activity of daily living index (BAI), householdand community ambulation were obtained. BAI at admission and dischargewere compared. The correlations between functional status at admissionand LOHS were determined.Result : Two hundred twenty seven medical records of stroke patients were reviewed.There were 24 patients who were not complete rehabilitation program andneed to refer compose of 17 medical complications, 6 surgical complicationsand one financial problem. The average age of patients is 60.61 ± 13.05years. 61.1% of the patients (n = 124) were men. 67.48% of the patients(n = 137) were covered by health insurance. The most common cause ofstroke was cerebral infarction (56.2%, n = 114). The median LOHS was58 days. LOHS had significantly inverse correlations with functional statusat admission (BAI, household and community ambulation) (p <0.001).All patients could stay at home after discharge. There was significantlyfunctional improvement in activity of daily living and ambulation level aftercomplete rehabilitation program.Conclusion : Stroke patients who completely attended rehabilitation program at Thai RedCross Rehabilitation Center showed significant functional improvement.Functional status at admission is a predictive factor of LOHS. All patientscan stay with their families after discharge.


Faculty of Medicine, Chulalongkorn University

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