title: Main outcomes of stroke rehabilitation: a multi-centre study in Thailand.
abstract: OBJECTIVE
  To estimate the efficiency of inpatient rehabilitation for patients after stroke in Thailand.
  
  
  METHODS
  Multi-centre, prospective study.
  
  
  METHODS
  Patients after stroke, aged >or= 18 years, with stable medical signs, able to follow 1-step commands and to sit for at least 30 min.
  
  
  METHODS
  Main outcomes included Barthel Index (BI) scores, BI effectiveness, BI efficiency, length of stay, Thai Hospital Anxiety and Depression Scale (HADS) scores, and quality of life.
  
  
  RESULTS
  Of a total of 327 patients, 285 completed the programmes, with a mean length of stay of 27.3 days. Mean age was 62.1 (standard deviation (SD) 12.1) years and 59% of patients were male. Mean BI scores on admission and at discharge were 7.48 (SD 3.96; range 0-19) and 13.27 (SD 4.86; range 0-20), respectively. The change score was 5.79 (SD 3.89) and the efficiency of functional score was 0.28 points/day. Using multivariate analysis, factors associated with change in BI score were age, previous stroke and length of stay. Sixty-four patients (25.5%) had anxiety and 95 (37.8%) had depression on admission. At discharge, the numbers of patients with anxiety and depression decreased to 17 (6.8%) and 41 (16.3%), respectively. The quality of life scores at discharge were significantly higher than those on admission.
  
  
  CONCLUSIONS
  Inpatient rehabilitation enabled stroke patients to reach optimal functional ability, and improved psychological status and quality of life.
authors.affiliation: Rehabilitation Medicine Department, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. sivkp@mahidol.ac.th
authors.forename: Vilai
authors.initials: V
authors.lastname: Kuptniratsaikul
authors.forename: Apichana
authors.initials: A
authors.lastname: Kovindha
authors.forename: Piyapat
authors.initials: P
authors.lastname: Dajpratham
authors.forename: Krisna
authors.initials: K
authors.lastname: Piravej
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011446:Prospective Studies; D011788:Quality of Life; D020521:Stroke / Q000503:physiopathology / Q000523:psychology; D000071939:Stroke Rehabilitation; D013624:Taiwan