[Short term results of outpatient vs. inpatient rehabilitation after stroke].
Fifty stroke patients who had already regained basic ADL-functions were investigated at the beginning and end of either inpatient or outpatient rehabilitation of similar therapeutic intensity in the same institution. For geographic reasons, outpatient treatment could only be offered to a subgroup of patients. Neurological deficits, extended ADL-functions and quality of life (SF-36) were assessed. Patients who chose outpatient rehabilitation exhibited milder neurological deficits and better ADL-function at onset. On average, outpatient rehabilitation took about 8 days more than inpatient treatment. Under rehabilitation, gains with respect to ADL-functions and the QoL-dimensions "physical role function" and "physical functional ability" were realized. The magnitude of changes did not depend on setting. A decrease in "general health perception" may be related to the inpatient treatment of patients who would have preferred an outpatient setting. Brief periods between stroke and onset of rehabilitation and longer duration of rehabilitation treatment were significantly associated with better outcome with respect to ADL-functions.
Bölsche
F
F
Klinik für Neurologie der Otto-von-Guericke-Universität Magdeburg, Germany. Frank.Boelsche@medizin.uni-magdeburg.de
Hasenbein
U
U
Reissberg
H
H
Lotz-Rambaldi
W
W
Wallesch
C-W
CW
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D017060:Patient Satisfaction; D011446:Prospective Studies; D011788:Quality of Life; D012046:Rehabilitation; D000071939:Stroke Rehabilitation